| Family Medicine Rural Health Clinic, Pa | |
|
187 Pr 4060 Lampasas TX 76550-4071 | |
| (512) 556-3621 | |
| (512) 556-6594 |
| Full Name | Family Medicine Rural Health Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 187 Pr 4060, Lampasas, Texas |
| Authorized Official Name and Position | Mark S Lane (PHYSICIAN) |
| Authorized Official Contact | 5125563621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Rural Health Clinic, Pa 207 W Avenue E Lampasas TX 76550-1820 Ph: (512) 556-3621 | Family Medicine Rural Health Clinic, Pa 187 Pr 4060 Lampasas TX 76550-4071 Ph: (512) 556-3621 |
| NPI Number | 1073665915 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 03/20/2017 |
| Medicare PECOS PAC ID | 8224009097 |
|---|---|
| Medicare Enrollment ID | O20040804001175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073665915 | NPI | - | NPPES |
| CG2858 | Other | TX | RAILROAD MEDICARE |
| 121186401 | Medicaid | TX | |
| 00U72J | Other | TX | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Jamie L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114353117 PECOS PAC ID: 2365672029 Enrollment ID: I20140226000906 |
| Provider Name | Jimmy L Spakes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184126997 PECOS PAC ID: 4688939366 Enrollment ID: I20180530001181 |
Fmcscience, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 187 Pr 4060, Lampasas, TX 76550 Phone: 512-556-3621 Fax: 512-556-6594 | |
Fmcscience, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 W Avenue E, Lampasas, TX 76550 Phone: 512-556-4130 Fax: 512-556-3382 | |
Adventhealth Family Medicine Rural Health Clinics, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 187 Pr 4060, Lampasas, TX 76550 Phone: 512-556-3621 Fax: 512-556-6594 | |
Family Medicine Rural Health Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 187 Pr 4060, Lampasas, TX 76550 Phone: 512-556-3621 Fax: 512-556-6594 | |
Ascension Seton Lampasas Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 Central Texas Expy, Lampasas, TX 76550 Phone: 512-715-3360 Fax: 512-406-6505 | |
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