| Fmc Long-term Care, P.a. | |
|
2501 Lakeview Dr Amarillo TX 79109-1531 | |
| (806) 358-9400 | |
| Not Available |
| Full Name | Fmc Long-term Care, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2501 Lakeview Dr, Amarillo, Texas |
| Authorized Official Name and Position | Steve Smith (CEO) |
| Authorized Official Contact | 8063558900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmc Long-term Care, P.a. 2501 Lakeview Dr Amarillo TX 79109-1531 Ph: (806) 355-8900 | Fmc Long-term Care, P.a. 2501 Lakeview Dr Amarillo TX 79109-1531 Ph: (806) 358-9400 |
| NPI Number | 1538703459 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 05/12/2022 |
| Medicare PECOS PAC ID | 7416380423 |
|---|---|
| Medicare Enrollment ID | O20191205001617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538703459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Harry M Henson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306845854 PECOS PAC ID: 7315849437 Enrollment ID: I20040121000223 |
| Provider Name | John P Dzik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659339950 PECOS PAC ID: 2668445131 Enrollment ID: I20040816001248 |
| Provider Name | Ron K Rankin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861405250 PECOS PAC ID: 4082640602 Enrollment ID: I20080609000456 |
| Provider Name | Randy L Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841262003 PECOS PAC ID: 5092886614 Enrollment ID: I20080625000128 |
| Provider Name | Susan A Baltz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992919484 PECOS PAC ID: 1951374008 Enrollment ID: I20091203000257 |
| Provider Name | Marc D Irwin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972514974 PECOS PAC ID: 0749170710 Enrollment ID: I20100414000513 |
| Provider Name | Margaret M. Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275833568 PECOS PAC ID: 3072773084 Enrollment ID: I20120329000297 |
| Provider Name | Cherity Gwen Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578921102 PECOS PAC ID: 7618275389 Enrollment ID: I20160413000308 |
| Provider Name | Deni Hoyler Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629590161 PECOS PAC ID: 2264708825 Enrollment ID: I20171026000105 |
| Provider Name | Abigail E Pitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710475090 PECOS PAC ID: 9537424874 Enrollment ID: I20180607001165 |
| Provider Name | Megan Marie Wait |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003309998 PECOS PAC ID: 8426305988 Enrollment ID: I20180716002497 |
| Provider Name | Jessica Diann Brittain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760040349 PECOS PAC ID: 5395072789 Enrollment ID: I20190807003602 |
| Provider Name | Donna Jeannette Mccauley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083229629 PECOS PAC ID: 8325424484 Enrollment ID: I20220928000213 |
| Provider Name | Tess J Whitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073238523 PECOS PAC ID: 9931579885 Enrollment ID: I20230110002018 |
| Provider Name | Dana Cobb-gregory |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447930425 PECOS PAC ID: 1456713882 Enrollment ID: I20230816002142 |
| Provider Name | Jasmyne Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427830959 PECOS PAC ID: 3779930714 Enrollment ID: I20231113001369 |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
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Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |
Fmc Coulter & 34th Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121 Phone: 806-350-8850 Fax: 806-350-8855 | |
Texas Tech Uhsc Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9559 Fax: 806-351-3765 | |
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