Community Wound Resource, Llc - Medicare Primary Care in Kilgore, TX

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Community Wound Resource, Llc is a medicare enrolled primary clinic (General Practice) in Kilgore, Texas. The current practice location for Community Wound Resource, Llc is 1600 S Henderson Blvd, Kilgore, Texas. For appointments, you can reach them via phone at (903) 475-2713. The mailing address for Community Wound Resource, Llc is 1600 S Henderson Blvd, Kilgore, Texas and phone number is (903) 475-2713.

Community Wound Resource, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851924625. 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) 475-2713.

Contact Information

Community Wound Resource, Llc
1600 S Henderson Blvd
Kilgore
TX 75662-3518
(903) 475-2713
(903) 942-2930

Map and Direction


Primary Care Clinic Profile

Full NameCommunity Wound Resource, Llc
SpecialityGeneral Practice
Location1600 S Henderson Blvd, Kilgore, Texas
Authorized Official Name and PositionDana Carter (MEMBER)
Authorized Official Contact8329677970
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Community Wound Resource, Llc
1600 S Henderson Blvd
Kilgore
TX 75662-3518

Ph: (903) 475-2713		Community Wound Resource, Llc
1600 S Henderson Blvd
Kilgore
TX 75662-3518

Ph: (903) 475-2713

NPI Details:

NPI Number1851924625
Provider Enumeration Date02/19/2020
Last Update Date03/21/2024

Medicare PECOS Information:

Medicare PECOS PAC ID2860831948
Medicare Enrollment IDO20240423000577

Medical Identifiers

Medical identifiers for Community Wound Resource, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851924625NPI-NPPES

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. Community Wound Resource, Llc acts as a billing entity for following providers:
Provider NameJennifer E Burbridge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679610497
PECOS PAC ID: 9739140963
Enrollment ID: I20041021000469
Provider NameJeffrey G Mcwilliams
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104037639
PECOS PAC ID: 9830242825
Enrollment ID: I20101004001231
Provider NameJill Linsey Holcomb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346547411
PECOS PAC ID: 5294907689
Enrollment ID: I20111006000565
Provider NameJennifer R Boynton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780712257
PECOS PAC ID: 4284883521
Enrollment ID: I20151223001084
Provider NameDiana Lynn Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982055091
PECOS PAC ID: 3375825169
Enrollment ID: I20170201000429
Provider NameElizabeth A Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285134163
PECOS PAC ID: 2062773930
Enrollment ID: I20180312000569
Provider NameThomas W Dillon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114416609
PECOS PAC ID: 1052667169
Enrollment ID: I20180703001567
Provider NameJacquelyn B Hopkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134600919
PECOS PAC ID: 6204180854
Enrollment ID: I20181116001929
Provider NameAmy Jo Shuptrine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104382597
PECOS PAC ID: 0446590210
Enrollment ID: I20190314002367
Provider NameShea Woods
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376187252
PECOS PAC ID: 2466885744
Enrollment ID: I20191126002628
Provider NameNicolette Silverio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942845243
PECOS PAC ID: 6709168149
Enrollment ID: I20200324002152
Provider NameConnie Sue Fiser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326654724
PECOS PAC ID: 8527478692
Enrollment ID: I20201123001304
Provider NameLay'c Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942856562
PECOS PAC ID: 3173934197
Enrollment ID: I20201124001149
Provider NameMichael K Brandon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679108104
PECOS PAC ID: 0345659553
Enrollment ID: I20210429000166
Provider NameChandler Dyan Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982379640
PECOS PAC ID: 1557768512
Enrollment ID: I20210920000379
Provider NameCasey D Landreneau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669054474
PECOS PAC ID: 6002206539
Enrollment ID: I20211124000266
Provider NameRebecca L Parson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023780202
PECOS PAC ID: 5799175402
Enrollment ID: I20211210001254
Provider NameCecily Karyn Heath Evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548938624
PECOS PAC ID: 3173917531
Enrollment ID: I20220301000015
Provider NameEloise Johnns
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689097461
PECOS PAC ID: 9830320191
Enrollment ID: I20220317002306
Provider NameTiffany Tyeskie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437803715
PECOS PAC ID: 4880089184
Enrollment ID: I20220324000041
Provider NameMichelle Alvarado Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457934085
PECOS PAC ID: 7315334281
Enrollment ID: I20220425000885
Provider NameEmily Groce
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629708946
PECOS PAC ID: 6305227687
Enrollment ID: I20220718002574
Provider NameTisha Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275175069
PECOS PAC ID: 8820469349
Enrollment ID: I20230120000673
Provider NameCarla Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710694971
PECOS PAC ID: 4284541863
Enrollment ID: I20230222001388
Provider NameShana Hobbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790495182
PECOS PAC ID: 7517387400
Enrollment ID: I20230313002511
Provider NameNicholas Hudson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164121851
PECOS PAC ID: 3274908108
Enrollment ID: I20230406002899
Provider NameJennifer Layman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316513609
PECOS PAC ID: 9931564747
Enrollment ID: I20230501002030
Provider NameLindsay Beasley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518653955
PECOS PAC ID: 7315307824
Enrollment ID: I20230716000016
Provider NameHeather Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104609965
PECOS PAC ID: 2062876246
Enrollment ID: I20230907001400
Provider NameLe'shauna N Pickens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497458277
PECOS PAC ID: 2163870585
Enrollment ID: I20231127000410
Provider NameApril Luquette
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245921659
PECOS PAC ID: 1355786732
Enrollment ID: I20240226000082
Provider NameMichelle Britven
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073342077
PECOS PAC ID: 7315487295
Enrollment ID: I20240905004004
Provider NameHolly Kristina Royer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063259992
PECOS PAC ID: 0042750945
Enrollment ID: I20240906000081
Provider NameTracey Lynn Bruner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093319006
PECOS PAC ID: 6507391778
Enrollment ID: I20241125002157

Reviews and Comments


General Practice in Kilgore, TX

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Medicare: Medicare Enrolled
Practice Location: 1600 S Henderson Blvd, Kilgore, TX 75662
Phone: 903-475-3474    
Michael W. Mcshan, M.d., P.a.
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Medicare: Not Enrolled in Medicare
Practice Location: 1711 S Henderson Blvd, Suite 300, Kilgore, TX 75662
Phone: 903-983-1578    

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Medicare: Not Enrolled in Medicare
Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662
Phone: 903-983-2110    Fax: 903-986-9148
Qv Urgent Care Tx Pllc
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Practice Location: 1016 N Kilgore St, Kilgore, TX 75662
Phone: 903-522-4199    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 307 Woodlawn, Kilgore, TX 75662
Phone: 903-983-2110    

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1711 S. Henderson Blvd., Ste. 400, Kilgore, TX 75662
Phone: 903-758-2610    Fax: 903-758-3124

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.