Etmc Physician Group Inc. is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Chandler, Texas. The current practice location for Etmc Physician Group Inc. is 125 State Highway 31 E, Chandler, Texas. For appointments, you can reach them via phone at
(903) 549-3862. The mailing address for Etmc Physician Group Inc. is 1 Burton Hills Blvd Ste 250, Nashville, Tennessee and phone number is (615) 296-3594.
Etmc Physician Group Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1235706581. 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) 549-3862.
Primary Care Clinic Profile
Full Name | Etmc Physician Group Inc. |
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Speciality | Clinic/Center |
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Location | 125 State Highway 31 E, Chandler, Texas |
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Authorized Official Name and Position | Stephen C. Petrovich (EVP, GENERAL COUNSEL) |
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Authorized Official Contact | 6152963594 |
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Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Etmc Physician Group Inc. 1 Burton Hills Blvd Ste 250 Nashville TN 37215-6195 Ph: (615) 296-3594 | Etmc Physician Group Inc. 125 State Highway 31 E Chandler TX 75758-2376 Ph: (903) 549-3862 |
NPI Details:
NPI Number | 1235706581 |
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Provider Enumeration Date | 06/07/2021 |
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Last Update Date | 06/07/2021 |
Medicare PECOS Information:
Medicare PECOS PAC ID | 4486915600 |
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Medicare Enrollment ID | O20210910000248 |
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Medical Identifiers
Medical identifiers for Etmc Physician Group Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235706581 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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