<unavail> in Keller, TX - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Keller, Texas. The current practice location for is 240 N Rufe Snow Dr, Keller, Texas. For appointments, you can reach them via phone at (817) 431-0606. The mailing address for is 5015 Fort Ave, Waco, Texas and phone number is (817) 431-0606.

is licensed to practice in Texas (license number H7766). The clinic also participates in the medicare program and its NPI number is 1891965505. 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 (817) 431-0606.

Contact Information


	240 N Rufe Snow Dr Keller TX 76248-4226
	(817) 431-0606
	(817) 379-0155

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	240 N Rufe Snow Dr, Keller, Texas
Authorized Official Name and Position	Kevin J Kallal (OWNER/PRESIDENT)
Authorized Official Contact	8174310606
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
5015 Fort Ave Waco TX 76710-5828 Ph: (817) 431-0606	240 N Rufe Snow Dr Keller TX 76248-4226 Ph: (817) 431-0606

NPI Details:

NPI Number	1891965505
Provider Enumeration Date	03/10/2008
Last Update Date	12/19/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	2365698586
Medicare Enrollment ID	O20120803000287

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891965505	NPI	-	NPPES
1861408205	Other	TX	INDIVIDUAL NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	H7766 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Kevin J Kallal
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1861408205 PECOS PAC ID: 2860497690 Enrollment ID: I20060928000460

Reviews and Comments

Family Medicine in Keller, TX

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- Medicare Primary Care in Keller, TX