Dandan Primary Care, Llc in San Antonio, TX

Dandan Primary Care, Llc is a medicare enrolled primary clinic (Family Medicine) in San Antonio, Texas. The current practice location for Dandan Primary Care, Llc is 354 E Southcross Blvd Ste 100, San Antonio, Texas. For appointments, you can reach them via phone at (661) 912-7458. The mailing address for Dandan Primary Care, Llc is 19807 Fiesta Grande, San Antonio, Texas and phone number is () -.

Dandan Primary Care, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235804964. 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 (661) 912-7458.

Contact Information

	Dandan Primary Care, Llc
	354 E Southcross Blvd Ste 100 San Antonio TX 78214-3595
	(661) 912-7458
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Dandan Primary Care, Llc
Speciality	Family Medicine
Location	354 E Southcross Blvd Ste 100, San Antonio, Texas
Authorized Official Name and Position	Melhem Dandan (OWNER)
Authorized Official Contact	6619127496
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dandan Primary Care, Llc 19807 Fiesta Grande San Antonio TX 78256-2038 Ph: () -	Dandan Primary Care, Llc 354 E Southcross Blvd Ste 100 San Antonio TX 78214-3595 Ph: (661) 912-7458

NPI Details:

NPI Number	1235804964
Provider Enumeration Date	08/13/2021
Last Update Date	07/15/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	5193114288
Medicare Enrollment ID	O20211110003010

Medical Identifiers

Medical identifiers for Dandan Primary Care, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235804964	NPI	-	NPPES
1053393520	Other	TX	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
207V00000X	Obstetrics & Gynecology	(* (Not Available))	Secondary

Medicare Reassignments

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

Provider Name	Susan P Mangum
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1962657486 PECOS PAC ID: 7214114792 Enrollment ID: I20110609000464

Provider Name	Melhem A Dandan
Provider Type	Practitioner - Obstetrics/gynecology
Provider Identifiers	NPI Number: 1053393520 PECOS PAC ID: 5698856334 Enrollment ID: I20120821000791

Reviews and Comments

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Dandan Primary Care, Llc - Medicare Primary Care in San Antonio, TX