Christus St. Michael Health System - Medicare Primary Care in Texarkana, TX

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Christus St. Michael Health System is a medicare enrolled primary clinic (General Practice) in Texarkana, Texas. The current practice location for Christus St. Michael Health System is 2600 Saint Michael Dr, Texarkana, Texas. For appointments, you can reach them via phone at (903) 614-1000. The mailing address for Christus St. Michael Health System is Po Box 3070, Texarkana, Texas and phone number is (903) 614-2943.

Christus St. Michael Health System is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1184623266. 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 (903) 614-1000.

Contact Information

Christus St. Michael Health System
2600 Saint Michael Dr
Texarkana
TX 75503-2372
(903) 614-1000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameChristus St. Michael Health System
SpecialityGeneral Practice
Location2600 Saint Michael Dr, Texarkana, Texas
Authorized Official Name and PositionJason Matthew Adams (PRESIDENT)
Authorized Official Contact7027384546
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Christus St. Michael Health System
Po Box 3070
Texarkana
TX 75504-3070

Ph: (903) 614-2943		Christus St. Michael Health System
2600 Saint Michael Dr
Texarkana
TX 75503-2372

Ph: (903) 614-1000

NPI Details:

NPI Number1184623266
Provider Enumeration Date07/20/2005
Last Update Date04/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2264325588
Medicare Enrollment IDO20050324001186

Medical Identifiers

Medical identifiers for Christus St. Michael Health System such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184623266NPI-NPPES
CJ5358OtherRAILROAD
0066DUOtherTXBLUE CROSS BLUE SHIELD
080804001MedicaidTX
145960002MedicaidAR
9R022OtherARBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (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. Christus St. Michael Health System acts as a billing entity for following providers:
Provider NameStacy L Wells
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1588691646
PECOS PAC ID: 3173412798
Enrollment ID: I20040312000138
Provider NameMelissa K Baumgardner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467476424
PECOS PAC ID: 6507849031
Enrollment ID: I20040608000121
Provider NameDonovan L Earley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699796235
PECOS PAC ID: 4284610320
Enrollment ID: I20040628001585
Provider NameMark Andrews Wren
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1104884386
PECOS PAC ID: 5698751691
Enrollment ID: I20040629001132
Provider NameAngelia Hill
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386626182
PECOS PAC ID: 9931171295
Enrollment ID: I20040809000482
Provider NameJanet Eileen Randolph
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1245216167
PECOS PAC ID: 1951360882
Enrollment ID: I20041006001317
Provider NameDonna Goecke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144246778
PECOS PAC ID: 3072565860
Enrollment ID: I20050221000482
Provider NameDaniel P Snow
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1235137019
PECOS PAC ID: 2062468184
Enrollment ID: I20050322001020
Provider NameManu G Reddy
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1659468023
PECOS PAC ID: 3971542002
Enrollment ID: I20050428000416
Provider NameGregg D Anderson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609874080
PECOS PAC ID: 7315965852
Enrollment ID: I20051103000523
Provider NameJohn M Hester
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1124058052
PECOS PAC ID: 5193730711
Enrollment ID: I20060217000269
Provider NameFelicia M Cooks
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1922012020
PECOS PAC ID: 7810905064
Enrollment ID: I20060329000387
Provider NameAlbert E Scates
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700923679
PECOS PAC ID: 7810097243
Enrollment ID: I20070713000245
Provider NameAmanda K Sams
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1619021771
PECOS PAC ID: 6204927593
Enrollment ID: I20070731000600
Provider NameChristopher L Killgore
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1235143645
PECOS PAC ID: 5395707178
Enrollment ID: I20070823000310
Provider NameNeeraja Dasari
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1306884853
PECOS PAC ID: 5092880591
Enrollment ID: I20080819000068
Provider NameRufus J Mark
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1992786628
PECOS PAC ID: 0244273571
Enrollment ID: I20080909000070
Provider NameRichard L Fender
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1942208327
PECOS PAC ID: 9234204397
Enrollment ID: I20081029000432
Provider NameSunil A Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588715916
PECOS PAC ID: 7810057098
Enrollment ID: I20081118000244
Provider NameTracey S Ward
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1245246479
PECOS PAC ID: 8325044399
Enrollment ID: I20090220000124
Provider NameJessica Leigh Huett
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982841490
PECOS PAC ID: 2466518030
Enrollment ID: I20090305000519
Provider NameBrooks Ross Greger
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073663688
PECOS PAC ID: 5395849681
Enrollment ID: I20090311000247
Provider NameNeal Anthony Dupre
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699766493
PECOS PAC ID: 4385534353
Enrollment ID: I20090319000411
Provider NameRebecca S Vanleeuwen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184875817
PECOS PAC ID: 7719034511
Enrollment ID: I20090414000439
Provider NameThomas J Alston
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063417822
PECOS PAC ID: 9032259486
Enrollment ID: I20091216000450
Provider NameThomas S Livingston
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1598726036
PECOS PAC ID: 9032295837
Enrollment ID: I20091229000164
Provider NameGary P Engstrom
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1336149731
PECOS PAC ID: 6103966940
Enrollment ID: I20091229000518
Provider NameJonathan F Thomas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043210149
PECOS PAC ID: 8921149691
Enrollment ID: I20100104000574
Provider NameJake Adam Sawyer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952632911
PECOS PAC ID: 2163558222
Enrollment ID: I20100327000339
Provider NameNaresh K. Gupta
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1639113996
PECOS PAC ID: 1850428558
Enrollment ID: I20100429000441
Provider NameDavid S Galyon
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1619209384
PECOS PAC ID: 2264561018
Enrollment ID: I20100603000715
Provider NameKim Downes
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1902138563
PECOS PAC ID: 7911038849
Enrollment ID: I20100621000927
Provider NameAndrew D Fuller
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518286541
PECOS PAC ID: 2365575313
Enrollment ID: I20100728000729
Provider NamePaul M James
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1144531187
PECOS PAC ID: 6901930692
Enrollment ID: I20100817000834
Provider NameEric W Roberts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912210105
PECOS PAC ID: 9234029323
Enrollment ID: I20101020000686
Provider NameLarry G Watson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467450619
PECOS PAC ID: 1254527344
Enrollment ID: I20101201000930
Provider NameJesse B Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1619975455
PECOS PAC ID: 5496941593
Enrollment ID: I20101201000987
Provider NameGary L Jackson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1700884947
PECOS PAC ID: 1759564636
Enrollment ID: I20110330000880
Provider NameNoel R Jackson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518965755
PECOS PAC ID: 9739362617
Enrollment ID: I20110330000901
Provider NameBrady L Thompson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1649570615
PECOS PAC ID: 1456537471
Enrollment ID: I20110509000535
Provider NameAndrea K Heflin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184929622
PECOS PAC ID: 4082890926
Enrollment ID: I20110511000110
Provider NameBrandon M Wiley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003107749
PECOS PAC ID: 6608044532
Enrollment ID: I20110720000731
Provider NameGenaro H Marquez
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689952582
PECOS PAC ID: 5092987636
Enrollment ID: I20111004000518
Provider NameJaanna L Taylor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306022181
PECOS PAC ID: 5496839037
Enrollment ID: I20111025000500
Provider NameBlaine E Rider
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1679869168
PECOS PAC ID: 7911171921
Enrollment ID: I20111130000688
Provider NameSahba Nadeem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992869937
PECOS PAC ID: 7517127772
Enrollment ID: I20120328000027
Provider NameEssam Y Malaty
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1508887191
PECOS PAC ID: 9830359561
Enrollment ID: I20120404000325
Provider NameJennifer K Anthony
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1740582923
PECOS PAC ID: 5597927814
Enrollment ID: I20120503000236
Provider NameBenjamin R Parker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1902046006
PECOS PAC ID: 0042362394
Enrollment ID: I20130419000437
Provider NameJustin Glenn Fitts
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255678298
PECOS PAC ID: 9032356084
Enrollment ID: I20130510000141
Provider NameDaniel B Howell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881934180
PECOS PAC ID: 1658519210
Enrollment ID: I20130521000677
Provider NameLance Aubrey Attaway
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831375096
PECOS PAC ID: 0345329504
Enrollment ID: I20130723000448
Provider NameJoyce Ann Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1871812982
PECOS PAC ID: 4183811979
Enrollment ID: I20130806000673
Provider NameYoko Sugimoto
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1063838779
PECOS PAC ID: 8628209277
Enrollment ID: I20140324001046
Provider NameJessica L Jones
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417378217
PECOS PAC ID: 8820220569
Enrollment ID: I20140412000178
Provider NameAbhilasha Jayantilal Patel
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1649405382
PECOS PAC ID: 8921223611
Enrollment ID: I20140714002242
Provider NameJohn W Woodell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023377009
PECOS PAC ID: 3678738549
Enrollment ID: I20140730001478
Provider NameApryl Scott Mensah
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1992033559
PECOS PAC ID: 0840436580
Enrollment ID: I20141007001866
Provider NameCharles Harrison Matthews
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1689899676
PECOS PAC ID: 0042477549
Enrollment ID: I20150216000412
Provider NameMatthew Mccurdy
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1003068347
PECOS PAC ID: 5193967263
Enrollment ID: I20150226000637
Provider NameClinton Echols
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1356732390
PECOS PAC ID: 9335467562
Enrollment ID: I20150417001423
Provider NameHesham Hazin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235369307
PECOS PAC ID: 0840344966
Enrollment ID: I20150608000379
Provider NameJeffrey Joseph Zipparo
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1699113118
PECOS PAC ID: 9638305998
Enrollment ID: I20150622000762
Provider NameThomas Carper
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306221866
PECOS PAC ID: 5991010811
Enrollment ID: I20150820010919
Provider NameDavid K Johnson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1740674894
PECOS PAC ID: 2365750494
Enrollment ID: I20151008002715
Provider NameKimberly Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932571577
PECOS PAC ID: 6204130743
Enrollment ID: I20160203002845
Provider NameLucas K Anderson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467818211
PECOS PAC ID: 8123323854
Enrollment ID: I20160217002626
Provider NameBarry Claude Lucas
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1073563177
PECOS PAC ID: 2264447762
Enrollment ID: I20160225001973
Provider NameYolanda Bone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780018143
PECOS PAC ID: 8123249117
Enrollment ID: I20160415001773
Provider NameJane Adwoa Yeboah
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1043665979
PECOS PAC ID: 9436443223
Enrollment ID: I20160802000615
Provider NameJohn Presley
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1154663649
PECOS PAC ID: 2567693740
Enrollment ID: I20160823001256
Provider NameKavitha R Donthireddy
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1508048513
PECOS PAC ID: 0648352930
Enrollment ID: I20161212000303
Provider NameJeremy B Andrews
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629432851
PECOS PAC ID: 5294021275
Enrollment ID: I20161215000086
Provider NameRobert Goebel
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1174620504
PECOS PAC ID: 6608787809
Enrollment ID: I20170201000869
Provider NameMitchell Wade Smith
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1407392822
PECOS PAC ID: 1355625682
Enrollment ID: I20170303001159
Provider NameRichard P Rogers
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275777500
PECOS PAC ID: 3971872565
Enrollment ID: I20170804000284
Provider NameSainath Gaddam
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1912142985
PECOS PAC ID: 0648435503
Enrollment ID: I20171023002912
Provider NameBrandy M Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447761390
PECOS PAC ID: 5991068751
Enrollment ID: I20180410001691
Provider NameKiran Kumar R Mangalpally
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1558518209
PECOS PAC ID: 1254510878
Enrollment ID: I20180412001315
Provider NameRohit B Ram
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1235493693
PECOS PAC ID: 4981961182
Enrollment ID: I20180702000203
Provider NameGeorgette Stiban
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1245733682
PECOS PAC ID: 8628315413
Enrollment ID: I20190201001288
Provider NamePamela K May
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700274909
PECOS PAC ID: 4981909769
Enrollment ID: I20190517000379
Provider NameMauricio La Rosa De Los Rios
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1235488719
PECOS PAC ID: 1759643018
Enrollment ID: I20191010000339
Provider NameTahir Ijaz
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1225036742
PECOS PAC ID: 2264436450
Enrollment ID: I20191016000911
Provider NameNikhil Nalluri
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1518245935
PECOS PAC ID: 3779868435
Enrollment ID: I20191025000036
Provider NameEmily Skinner Barton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114576469
PECOS PAC ID: 2769714633
Enrollment ID: I20191025000410
Provider NameJennifer Caitlin Lee
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1639580756
PECOS PAC ID: 2860724572
Enrollment ID: I20191030001425
Provider NameLoren K Robinson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568699528
PECOS PAC ID: 2567694383
Enrollment ID: I20191127001249
Provider NameSimona Luckow
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427412188
PECOS PAC ID: 9830483874
Enrollment ID: I20191212000284
Provider NameChukwuebuka Ekwealor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427558543
PECOS PAC ID: 7810259934
Enrollment ID: I20200203001155
Provider NameMegan Shepherd
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1538556402
PECOS PAC ID: 2264735281
Enrollment ID: I20200519001223
Provider NameIris Bettina Miller
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1760014492
PECOS PAC ID: 6406274265
Enrollment ID: I20200911000435
Provider NameRachel Anne Charette
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396383683
PECOS PAC ID: 1658799788
Enrollment ID: I20200922000598
Provider NameYesenia Canciobello
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1457954737
PECOS PAC ID: 7517366222
Enrollment ID: I20210601000638
Provider NameJad J Wakim
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1205099959
PECOS PAC ID: 8729238688
Enrollment ID: I20210616001919
Provider NameSwathi Challa
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285038059
PECOS PAC ID: 6507101706
Enrollment ID: I20210630002476
Provider NameWilfred P Dela Cruz
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1346551447
PECOS PAC ID: 1355565821
Enrollment ID: I20210702000653
Provider NameDaphanie D Taylor
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1922480177
PECOS PAC ID: 6002116662
Enrollment ID: I20210821000199
Provider NameAndre Hayes
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386263069
PECOS PAC ID: 4385040385
Enrollment ID: I20210830003482
Provider NameNnaemeka Echebiri
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1538693981
PECOS PAC ID: 8224428651
Enrollment ID: I20211129002247
Provider NameBrandon Lee Patterson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134425226
PECOS PAC ID: 4385825280
Enrollment ID: I20220503001694
Provider NameMargaret Leigh Broadhead
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1629652367
PECOS PAC ID: 3375920085
Enrollment ID: I20220519000181
Provider NameFrederich Walker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1245966639
PECOS PAC ID: 2062889041
Enrollment ID: I20221103002072
Provider NameTochi Nworu
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1326579632
PECOS PAC ID: 3173998440
Enrollment ID: I20230419001368
Provider NameMichael O Sant
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1861478752
PECOS PAC ID: 4385656446
Enrollment ID: I20230422000265
Provider NameAshlyn Nicole Spruell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1184409229
PECOS PAC ID: 0840645990
Enrollment ID: I20231010003951
Provider NameJeffrey Michel
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1023069333
PECOS PAC ID: 1759319775
Enrollment ID: I20231113000278
Provider NamePaul Anderson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417909003
PECOS PAC ID: 1355357914
Enrollment ID: I20231205001044
Provider NameJames L Adams
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1649258716
PECOS PAC ID: 0547236168
Enrollment ID: I20240219003149
Provider NameHayden Hunter Cox
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467131300
PECOS PAC ID: 7214373646
Enrollment ID: I20240307003728

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Medicare: Not Enrolled in Medicare
Practice Location: 4082 Summerhill Sq, Texarkana, TX 75503
Phone: 903-793-7994    Fax: 903-793-7996
Hygeia At Delphi
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 6714 Lawson Cir, Texarkana, TX 75503
Phone: 903-556-9317    
Nathan J Wright Md Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2014 Galleria Oaks Dr, Texarkana, TX 75503
Phone: 903-792-2991    Fax: 903-793-7996
Ranga Balasekaran Md Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1002 Texas Blvd Ste 401, Texarkana, TX 75501
Phone: 903-792-4146    Fax: 903-792-0586

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.