Carevide - Medicare Primary Care in Cooper, TX

  1. Home
  2. Primary Care Clinics
  3. TX
  4. Cooper
Carevide is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Cooper, Texas. The current practice location for Carevide is 91 W Side Sq, Cooper, Texas. For appointments, you can reach them via phone at (903) 455-5986. The mailing address for Carevide is Po Box 1908, Greenville, Texas and phone number is (903) 455-5986.

Carevide is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1700067253. 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) 455-5986.

Contact Information

Carevide
91 W Side Sq
Cooper
TX 75432-1725
(903) 455-5986
(903) 454-4621

Map and Direction


Primary Care Clinic Profile

Full NameCarevide
SpecialityClinic/Center
Location91 W Side Sq, Cooper, Texas
Authorized Official Name and PositionMichelle Carter (CEO)
Authorized Official Contact9034555986
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carevide
Po Box 1908
Greenville
TX 75403-1908

Ph: (903) 455-5986		Carevide
91 W Side Sq
Cooper
TX 75432-1725

Ph: (903) 455-5986

NPI Details:

NPI Number1700067253
Provider Enumeration Date11/26/2007
Last Update Date06/17/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6305735150
Medicare Enrollment IDO20040612000279

Medical Identifiers

Medical identifiers for Carevide such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700067253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (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. Carevide acts as a billing entity for following providers:
Provider NameRebecca T Willeford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437161197
PECOS PAC ID: 4981659646
Enrollment ID: I20050315000742
Provider NameTrixie Newkirk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538144886
PECOS PAC ID: 8224075536
Enrollment ID: I20050408000618
Provider NameTod S Conner
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1033182753
PECOS PAC ID: 4789625815
Enrollment ID: I20050518000909
Provider NameJames D Doughtie
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1447217245
PECOS PAC ID: 2668486911
Enrollment ID: I20060126000151
Provider NameMartin William Fielder
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1659353605
PECOS PAC ID: 3375550791
Enrollment ID: I20060309000518
Provider NameSharen H Ozarowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659421220
PECOS PAC ID: 2163521428
Enrollment ID: I20070627000321
Provider NameKristi M Whitenton
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1063697472
PECOS PAC ID: 2567547144
Enrollment ID: I20080306000301
Provider NameMelaine Reese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801112453
PECOS PAC ID: 6103009915
Enrollment ID: I20110331000335
Provider NameKara Marie Cizdziel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558507913
PECOS PAC ID: 2769666106
Enrollment ID: I20110411000209
Provider NameLisa Brittmon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568619229
PECOS PAC ID: 5698821866
Enrollment ID: I20111024000262
Provider NameDebra Grunden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366766875
PECOS PAC ID: 1052566452
Enrollment ID: I20130311000448
Provider NameRenea Lee Powell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104933134
PECOS PAC ID: 7517134075
Enrollment ID: I20131204001923
Provider NameJessica N Brooks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215355854
PECOS PAC ID: 6800016775
Enrollment ID: I20140929001376
Provider NameChristopher Marcus Brown
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013284496
PECOS PAC ID: 4880814003
Enrollment ID: I20141009001614
Provider NameDavid Kent Fry
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1114910379
PECOS PAC ID: 4981655990
Enrollment ID: I20150413001953
Provider NameStaci Nichole Stough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114396322
PECOS PAC ID: 8224338355
Enrollment ID: I20151123000183
Provider NameTiffany A Douglas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982959904
PECOS PAC ID: 2466753082
Enrollment ID: I20151223001112
Provider NameCatherine M Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851764054
PECOS PAC ID: 1850695727
Enrollment ID: I20160212001988
Provider NameEmily E Sundeen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962803304
PECOS PAC ID: 1355645078
Enrollment ID: I20180703001260
Provider NameCrystal G Roe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861871857
PECOS PAC ID: 6507117389
Enrollment ID: I20180918000733
Provider NameKelly Lee Peters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417430935
PECOS PAC ID: 8123372380
Enrollment ID: I20181107001461
Provider NameBlair Elizabeth Davison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851861017
PECOS PAC ID: 8224376801
Enrollment ID: I20190206000340
Provider NameEric Lloyd Metzger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871891499
PECOS PAC ID: 6800053588
Enrollment ID: I20190214000642
Provider NameBenjamin David Hanssen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154880789
PECOS PAC ID: 2365783503
Enrollment ID: I20190416001549
Provider NameChelsea Neaoma Lyday
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982251138
PECOS PAC ID: 4587994843
Enrollment ID: I20190930001534
Provider NameEmily Green
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669009858
PECOS PAC ID: 2163844259
Enrollment ID: I20200618000680
Provider NameTheresa V White
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568818078
PECOS PAC ID: 4688967235
Enrollment ID: I20200716003347
Provider NameAmy Pennington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659984771
PECOS PAC ID: 0547672883
Enrollment ID: I20201210001975
Provider NameJennifer R Speulda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508474446
PECOS PAC ID: 0143634857
Enrollment ID: I20210120002151
Provider NameMaycie Groth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437727989
PECOS PAC ID: 4486055001
Enrollment ID: I20210702000154
Provider NameJeanie Diane Dunlap
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760806426
PECOS PAC ID: 2466856729
Enrollment ID: I20210809001372
Provider NameNetsanet Desta Gebeto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477198992
PECOS PAC ID: 1658777487
Enrollment ID: I20210902001689
Provider NameHaley Michelle Rouse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326617218
PECOS PAC ID: 8224436282
Enrollment ID: I20211006001761
Provider NameCaleb Sung Choe
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1639599939
PECOS PAC ID: 8729474465
Enrollment ID: I20220406002168
Provider NameJennifer Marie Torres
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386146561
PECOS PAC ID: 9638551740
Enrollment ID: I20220806000254
Provider NameBrittany Rebecca Scott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508598434
PECOS PAC ID: 7810361011
Enrollment ID: I20230329001070
Provider NameElizabeth Renee Bates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073250338
PECOS PAC ID: 8527424688
Enrollment ID: I20230515002392
Provider NameNicole Dauksavage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194423541
PECOS PAC ID: 9830557594
Enrollment ID: I20230628001078
Provider NameMicah Wayne Duke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750952412
PECOS PAC ID: 3577866581
Enrollment ID: I20230721003132
Provider NameKomal Vargas
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1922462985
PECOS PAC ID: 3173972106
Enrollment ID: I20231215000339
Provider NameCatherine Kayleen Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649982505
PECOS PAC ID: 6002265006
Enrollment ID: I20231216000092
Provider NameHeather Renae Gesino
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639841125
PECOS PAC ID: 1456795897
Enrollment ID: I20240214000471
Provider NameBrittany Gabriella Ardoin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043079841
PECOS PAC ID: 4789024357
Enrollment ID: I20240430000940

Reviews and Comments


Clinic/Center in Cooper, TX

Cooper Health Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 181 E Dallas Ave, Cooper, TX 75432
Phone: 903-395-2192    Fax: 903-395-2193

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.