Dekalb Physicians Clinic Llc - Medicare Primary Care in De Kalb, TX

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Dekalb Physicians Clinic Llc is a medicare enrolled primary clinic (Family Medicine) in De Kalb, Texas. The current practice location for Dekalb Physicians Clinic Llc is 1250 S Runnels St, De Kalb, Texas. For appointments, you can reach them via phone at (903) 667-2273. The mailing address for Dekalb Physicians Clinic Llc is 216 N Centre St, De Kalb, Texas and phone number is (903) 667-2273.

Dekalb Physicians Clinic Llc is licensed to practice in Texas (license number L5749). The clinic also participates in the medicare program and its NPI number is 1265565691. 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) 667-2273.

Contact Information

Dekalb Physicians Clinic Llc
1250 S Runnels St
De Kalb
TX 75559-2317
(903) 667-2273
(903) 667-7597

Map and Direction


Primary Care Clinic Profile

Full NameDekalb Physicians Clinic Llc
SpecialityFamily Medicine
Location1250 S Runnels St, De Kalb, Texas
Authorized Official Name and PositionKyle Wayne Groom (OWNER - PHYSICIAN)
Authorized Official Contact9036672273
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dekalb Physicians Clinic Llc
216 N Centre St
De Kalb
TX 75559-1406

Ph: (903) 667-2273		Dekalb Physicians Clinic Llc
1250 S Runnels St
De Kalb
TX 75559-2317

Ph: (903) 667-2273

NPI Details:

NPI Number1265565691
Provider Enumeration Date03/14/2007
Last Update Date01/30/2023

Medicare PECOS Information:

Medicare PECOS PAC ID0244264216
Medicare Enrollment IDO20050920000946

Medical Identifiers

Medical identifiers for Dekalb Physicians Clinic Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265565691NPI-NPPES
8S7090OtherTXBLUE CROSS BLUE SHIELD
177214701MedicaidTX
8P152OtherARARK BLUE CROSS BLUE SHIEL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine L5749 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Dekalb Physicians Clinic Llc acts as a billing entity for following providers:
Provider NameKyle W Groom
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1063413656
PECOS PAC ID: 2264424456
Enrollment ID: I20040330001205
Provider NameAlmer Hadaway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720416308
PECOS PAC ID: 5890912109
Enrollment ID: I20160827000137
Provider NameLee A Mccrary
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427411032
PECOS PAC ID: 6709155427
Enrollment ID: I20170711003072
Provider NameAndrew H Lourens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568956456
PECOS PAC ID: 2860745965
Enrollment ID: I20181018002217
Provider NameCody Jo Sanford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740886704
PECOS PAC ID: 6002261054
Enrollment ID: I20231011000354

Reviews and Comments


Family Medicine in De Kalb, TX

Beacon Integrated Healthcare
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 118 Wood St Ofc 1, De Kalb, TX 75559
Phone: 903-417-5377    

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.