Lake Kiowa Medical Clinic - Medicare Primary Care in Gainesville, TX

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Lake Kiowa Medical Clinic is a medicare enrolled primary clinic (Family Medicine) in Gainesville, Texas. The current practice location for Lake Kiowa Medical Clinic is 100 Kiowa Dr W Apt 103, Gainesville, Texas. For appointments, you can reach them via phone at (940) 612-5562. The mailing address for Lake Kiowa Medical Clinic is Po Box 1358, Gainesville, Texas and phone number is (940) 612-5562.

Lake Kiowa Medical Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1235697350. 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 (940) 612-5562.

Contact Information

Lake Kiowa Medical Clinic
100 Kiowa Dr W Apt 103
Gainesville
TX 76240-9507
(940) 612-5562
(940) 665-6201

Map and Direction


Primary Care Clinic Profile

Full NameLake Kiowa Medical Clinic
SpecialityFamily Medicine
Location100 Kiowa Dr W Apt 103, Gainesville, Texas
Authorized Official Name and PositionHolly Oliveira (OWNER)
Authorized Official Contact9406125562
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lake Kiowa Medical Clinic
Po Box 1358
Gainesville
TX 76241-1358

Ph: (940) 612-5562		Lake Kiowa Medical Clinic
100 Kiowa Dr W Apt 103
Gainesville
TX 76240-9507

Ph: (940) 612-5562

NPI Details:

NPI Number1235697350
Provider Enumeration Date03/07/2019
Last Update Date08/28/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8224576954
Medicare Enrollment IDO20240813002787

Medical Identifiers

Medical identifiers for Lake Kiowa Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235697350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily 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. Lake Kiowa Medical Clinic acts as a billing entity for following providers:
Provider NameHolly R Oliveira
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497749147
PECOS PAC ID: 7113936956
Enrollment ID: I20060406000242
Provider NameEdgardo G Advincula
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083619696
PECOS PAC ID: 0840265732
Enrollment ID: I20150401000828
Provider NameMishel Sedek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619728797
PECOS PAC ID: 6406391689
Enrollment ID: I20240711003449

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.