Fort Davis Family Practice, Pa is a medicare enrolled primary clinic (Family Medicine) in Fort Davis, Texas. The current practice location for Fort Davis Family Practice, Pa is 1 Memorial Square, Box 792, Fort Davis, Texas. For appointments, you can reach them via phone at
(432) 426-3217. The mailing address for Fort Davis Family Practice, Pa is Po Box 792, 1 Memorial Square, Fort Davis, Texas and phone number is (432) 426-3217.
Fort Davis Family Practice, Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1578757720. 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
(432) 426-3217.
Primary Care Clinic Profile
| Full Name | Fort Davis Family Practice, Pa |
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| Speciality | Family Medicine |
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| Location | 1 Memorial Square, Fort Davis, Texas |
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| Authorized Official Name and Position | James D Luecke (OWNER/PHYSICIAN) |
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| Authorized Official Contact | 4324263217 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Fort Davis Family Practice, Pa
Po Box 792
1 Memorial Square
Fort Davis
TX 79734-0008
Ph: (432) 426-3217 | Fort Davis Family Practice, Pa
1 Memorial Square
Box 792
Fort Davis
TX 79734-0008
Ph: (432) 426-3217 |
NPI Details:
| NPI Number | 1578757720 |
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| Provider Enumeration Date | 08/30/2007 |
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| Last Update Date | 04/30/2015 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 9739110180 |
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| Medicare Enrollment ID | O20050825000206 |
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Medical Identifiers
Medical identifiers for Fort Davis Family Practice, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578757720 | NPI | - | NPPES |
| 144621303 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fort Davis Family Practice, Pa acts as a billing entity for following providers:
| Provider Name | James D Luecke |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1184692881
PECOS PAC ID: 1951364447
Enrollment ID: I20041105000456 |
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