Nacogdoches Memorial Professional Group - Medicare Primary Care in Nacogdoches, TX

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Nacogdoches Memorial Professional Group is a medicare enrolled primary clinic (Obstetrics & Gynecology) in Nacogdoches, Texas. The current practice location for Nacogdoches Memorial Professional Group is 1204 N Mound St, Nacogdoches, Texas. For appointments, you can reach them via phone at (936) 568-8523. The mailing address for Nacogdoches Memorial Professional Group is 1204 N Mound St, Nacogdoches, Texas and phone number is (936) 568-8523.

Nacogdoches Memorial Professional Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053711804. 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 (936) 568-8523.

Contact Information

Nacogdoches Memorial Professional Group
1204 N Mound St
Nacogdoches
TX 75961
(936) 568-8523
(936) 568-8588

Map and Direction


Primary Care Clinic Profile

Full NameNacogdoches Memorial Professional Group
SpecialityObstetrics & Gynecology
Location1204 N Mound St, Nacogdoches, Texas
Authorized Official Name and PositionRichard Wallace (CFO)
Authorized Official Contact9365688426
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nacogdoches Memorial Professional Group
1204 N Mound St
Nacogdoches
TX 75961-4027

Ph: (936) 568-8523		Nacogdoches Memorial Professional Group
1204 N Mound St
Nacogdoches
TX 75961

Ph: (936) 568-8523

NPI Details:

NPI Number1053711804
Provider Enumeration Date08/29/2014
Last Update Date05/25/2018

Medicare PECOS Information:

Medicare PECOS PAC ID0446151328
Medicare Enrollment IDO20040608000604

Medical Identifiers

Medical identifiers for Nacogdoches Memorial Professional Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053711804NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207V00000XObstetrics & Gynecology (* (Not Available))Primary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology (* (Not Available))Secondary
208600000XSurgery (* (Not Available))Secondary
2086S0129XSurgery - Vascular Surgery (* (Not Available))Secondary
208800000XUrology (* (Not Available))Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary
363LW0102XNurse Practitioner - Women's Health (* (Not Available))Secondary
367A00000XAdvanced Practice Midwife (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Nacogdoches Memorial Professional Group acts as a billing entity for following providers:
Provider NameJason P Suits
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1750358149
PECOS PAC ID: 3577552231
Enrollment ID: I20040507001118
Provider NameDebra E Mccarthy
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1104877901
PECOS PAC ID: 0446351647
Enrollment ID: I20070718000191
Provider NameDiana P Selvey
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1902968191
PECOS PAC ID: 0345341236
Enrollment ID: I20070723000169
Provider NameErin E Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326254517
PECOS PAC ID: 3870677677
Enrollment ID: I20080303000330
Provider NameSergio G Moreira
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1790735918
PECOS PAC ID: 5395776355
Enrollment ID: I20080729000287
Provider NameCrystal A Talavera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154510980
PECOS PAC ID: 5395806764
Enrollment ID: I20081203000561
Provider NameKim M Schaus
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1851445340
PECOS PAC ID: 6800957929
Enrollment ID: I20081209000055
Provider NameCarla A Hairston
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124020631
PECOS PAC ID: 8820113699
Enrollment ID: I20100916000777
Provider NameJames M Otto
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477690766
PECOS PAC ID: 1456477298
Enrollment ID: I20101020000938
Provider NameWilliam W Hairston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295744399
PECOS PAC ID: 1153405956
Enrollment ID: I20110413000107
Provider NameIrma M Sainz
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1720263601
PECOS PAC ID: 4981882768
Enrollment ID: I20110627000160
Provider NameKeli S Barrios
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619259579
PECOS PAC ID: 9739346883
Enrollment ID: I20120201000861
Provider NameMelanie L Wilson
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1801136700
PECOS PAC ID: 9638315401
Enrollment ID: I20130424000060
Provider NameJames B Hurlburt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538429725
PECOS PAC ID: 1759507395
Enrollment ID: I20140717000436
Provider NameRinajoyce F Abril-walker
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1932574910
PECOS PAC ID: 5799080388
Enrollment ID: I20160218002138
Provider NameMaria Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720445851
PECOS PAC ID: 5890086169
Enrollment ID: I20160616000089
Provider NameMichelle Key
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871042606
PECOS PAC ID: 1456633858
Enrollment ID: I20170119001802
Provider NameRyan Kortni Arreguin
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1164934964
PECOS PAC ID: 2567720824
Enrollment ID: I20171215000294
Provider NameAisha Ligon Warfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780234864
PECOS PAC ID: 7618209073
Enrollment ID: I20191105000108
Provider NameKristin Nicole Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063053197
PECOS PAC ID: 1759713043
Enrollment ID: I20191106002887
Provider NameDustin Cole Pressley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467084749
PECOS PAC ID: 9537598008
Enrollment ID: I20200403001701
Provider NameEmma Pruett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477193779
PECOS PAC ID: 1658790050
Enrollment ID: I20201005001943
Provider NameArianna A Fresquez
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811423767
PECOS PAC ID: 0446654081
Enrollment ID: I20210804002852

Reviews and Comments


Obstetrics & Gynecology in Nacogdoches, TX

Itasca Healing Medical Practice
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 223 King St, Nacogdoches, TX 75961
Phone: 936-622-0552    Fax: 936-622-0554
Strive Clinical Network Inc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4800 Ne Stallings Dr Ste 109, Nacogdoches, TX 75965
Phone: 936-559-0700    
Urgent Health Solutions Nacogdoches
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4909 North St Ste 202, Nacogdoches, TX 75965
Phone: 936-560-9898    
Stephen F Austin State University Sports Medicine
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1936 North St, Sfa Sports Medicine Clinic, Nacogdoches, TX 75965
Phone: 936-468-4550    Fax: 936-468-4052
Donald E. Cagle, M.d.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 320 Russell Blvd, Nacogdoches, TX 75965
Phone: 936-569-6411    Fax: 936-569-6446
Strive Express Care
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 3205 N University Dr Ste E, Nacogdoches, TX 75965
Phone: 936-585-8000    Fax: 833-983-2949

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.