| Midland Medicine Pa | |
|
4507 Santa Rosa Dr Midland TX 79707-2260 | |
| (432) 683-8516 | |
| Not Available |
| Full Name | Midland Medicine Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 4507 Santa Rosa Dr, Midland, Texas |
| Authorized Official Name and Position | Candace Wynne (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4322215907 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Medicine Pa 4507 Santa Rosa Dr Midland TX 79707-2260 Ph: (432) 683-8516 | Midland Medicine Pa 4507 Santa Rosa Dr Midland TX 79707-2260 Ph: (432) 683-8516 |
| NPI Number | 1346832771 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 07/15/2022 |
| Medicare PECOS PAC ID | 1658788377 |
|---|---|
| Medicare Enrollment ID | O20210325000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346832771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Hunter Atkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760860720 PECOS PAC ID: 2264731223 Enrollment ID: I20180312000471 |
| Provider Name | Justin Shanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205477874 PECOS PAC ID: 8426485160 Enrollment ID: I20200219001220 |
| Provider Name | Amanda Jo Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609484419 PECOS PAC ID: 2961822887 Enrollment ID: I20201015000292 |
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Joseph J Shayeb Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 900 W Loop 250 N, Suite E, Midland, TX 79705 Phone: 432-620-8666 Fax: 432-682-9990 | |
Wecare Tlc- Pioneer Hwy 80 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4815 E Highway 80, Midland, TX 79706 Phone: 432-571-2680 | |
Blossom Nutrition Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 904 July Fourth Rd, Midland, TX 79706 Phone: 903-312-4549 | |
Melissa Alworth D.o. P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4519 N Garfield, Suite 15, Midland, TX 79705 Phone: 432-699-0952 |