<unavail> in Grand Prairie, TX - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in Grand Prairie, Texas. The current practice location for is 513 W Jefferson St, Grand Prairie, Texas. For appointments, you can reach them via phone at (469) 213-8421. The mailing address for is Po Box 339, Holland, Texas and phone number is (512) 487-5556.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1699357632. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (469) 213-8421.

Contact Information


	513 W Jefferson St Grand Prairie TX 75051-1606
	(469) 213-8421
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	513 W Jefferson St, Grand Prairie, Texas
Authorized Official Name and Position	Joshua Allen (PROVIDER)
Authorized Official Contact	2818645656
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 339 Holland TX 76534-0339 Ph: (512) 487-5556	513 W Jefferson St Grand Prairie TX 75051-1606 Ph: (469) 213-8421

NPI Details:

NPI Number	1699357632
Provider Enumeration Date	04/28/2021
Last Update Date	02/24/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	1355715608
Medicare Enrollment ID	O20230328001334

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699357632	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Joshua Aaron Allen
Provider Type	Practitioner - Anesthesiology
Provider Identifiers	NPI Number: 1699760264 PECOS PAC ID: 2062483282 Enrollment ID: I20040803000146

Provider Name	Timothy Joe Hillbrick
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1205835451 PECOS PAC ID: 0749214765 Enrollment ID: I20150604000473

Reviews and Comments

Internal Medicine in Grand Prairie, TX

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- Medicare Primary Care in Grand Prairie, TX