East Texas Out-patient Pllc - Medicare Primary Care in Edgewood, TX

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East Texas Out-patient Pllc is a medicare enrolled primary clinic (Family Medicine) in Edgewood, Texas. The current practice location for East Texas Out-patient Pllc is 116 N Houston St, Edgewood, Texas. For appointments, you can reach them via phone at (903) 962-3419. The mailing address for East Texas Out-patient Pllc is Po Box 76, Canton, Texas and phone number is (903) 962-3419.

East Texas Out-patient Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417511593. 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) 962-3419.

Contact Information

East Texas Out-patient Pllc
116 N Houston St
Edgewood
TX 75117-1555
(903) 962-3419
(903) 962-3635

Map and Direction


Primary Care Clinic Profile

Full NameEast Texas Out-patient Pllc
SpecialityFamily Medicine
Location116 N Houston St, Edgewood, Texas
Authorized Official Name and PositionChelsey L Waisath (ACCOUNT MANAGER)
Authorized Official Contact9035671910
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
East Texas Out-patient Pllc
Po Box 76
Canton
TX 75103-0076

Ph: (903) 962-3419		East Texas Out-patient Pllc
116 N Houston St
Edgewood
TX 75117-1555

Ph: (903) 962-3419

NPI Details:

NPI Number1417511593
Provider Enumeration Date04/24/2019
Last Update Date02/11/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8820326275
Medicare Enrollment IDO20190822001823

Medical Identifiers

Medical identifiers for East Texas Out-patient Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417511593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (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. East Texas Out-patient Pllc acts as a billing entity for following providers:
Provider NameShannon E Phillips
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811969165
PECOS PAC ID: 6800867136
Enrollment ID: I20040802001049
Provider NameJimmy W Dailey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073598199
PECOS PAC ID: 3870508724
Enrollment ID: I20060214000089

Reviews and Comments


Family Medicine in Edgewood, TX

Edgewood Rural Healthh Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 106 East Pine Street, Edgewood, TX 75117
Phone: 903-896-2222    

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.