| Fmc Medical Foundation, Inc | |
|
1500 S Coulter St Ste 1 Amarillo TX 79106-1787 | |
| (806) 354-0404 | |
| (806) 354-2810 |
| Full Name | Fmc Medical Foundation, Inc |
|---|---|
| Speciality | Pediatrics |
| Location | 1500 S Coulter St Ste 1, Amarillo, Texas |
| Authorized Official Name and Position | Stefanie Feemster (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8063589400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fmc Medical Foundation, Inc 1500 S Coulter St Ste 1 Amarillo TX 79106-1787 Ph: (806) 354-0404 | Fmc Medical Foundation, Inc 1500 S Coulter St Ste 1 Amarillo TX 79106-1787 Ph: (806) 354-0404 |
| NPI Number | 1003825852 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 12/19/2022 |
| Medicare PECOS PAC ID | 3476547175 |
|---|---|
| Medicare Enrollment ID | O20040414000883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003825852 | NPI | - | NPPES |
| 081138203 | Medicaid | TX | |
| 134071303 | Medicaid | TX | |
| 081138202 | Medicaid | TX | |
| 081138201 TERM 12/16 | Medicaid | TX | |
| 0077BM | Other | TX | BCBS |
| Provider Name | John Young |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578572392 PECOS PAC ID: 9032103650 Enrollment ID: I20100916000064 |
| Provider Name | Dorothy Yvonne Hooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871991430 PECOS PAC ID: 8820311608 Enrollment ID: I20141231001105 |
| Provider Name | Sheri L Williams |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467461244 PECOS PAC ID: 7012901614 Enrollment ID: I20151221000629 |
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 | |
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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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