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1500 S Coulter St Ste 1 Amarillo TX 79106-1787 | |
(806) 354-0404 | |
(806) 354-2810 |
Full Name | |
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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 |
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1500 S Coulter St Ste 1 Amarillo TX 79106-1787 Ph: (806) 354-0404 | 1500 S Coulter St Ste 1 Amarillo TX 79106-1787 Ph: (806) 354-0404 |
NPI Number | 1003825852 |
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Provider Enumeration Date | 08/07/2006 |
Last Update Date | 12/19/2022 |
Medicare PECOS PAC ID | 3476547175 |
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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 |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1578572392 PECOS PAC ID: 9032103650 Enrollment ID: I20100916000064 |
Provider Name | Dorothy Y Mckee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871991430 PECOS PAC ID: 8820311608 Enrollment ID: I20141231001105 |
Provider Name | Sheri L Williams |
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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 | |
Eres Bella, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 S Coulter St Ste 200, Amarillo, TX 79119 Phone: 806-672-9929 Fax: 806-553-1531 | |
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 | |