Northeast Texas Intensivists, Pllc - Medicare Primary Care in Longview, TX

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Northeast Texas Intensivists, Pllc is a medicare enrolled primary clinic (Internal Medicine - Critical Care Medicine) in Longview, Texas. The current practice location for Northeast Texas Intensivists, Pllc is 700 E Marshall Ave, Longview, Texas. For appointments, you can reach them via phone at (903) 315-2000. The mailing address for Northeast Texas Intensivists, Pllc is 200 Corporate Blvd, Lafayette, Louisiana and phone number is (800) 893-9698.

Northeast Texas Intensivists, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1497536676. 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 (903) 315-2000.

Contact Information

Northeast Texas Intensivists, Pllc
700 E Marshall Ave
Longview
TX 75601-5580
(903) 315-2000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameNortheast Texas Intensivists, Pllc
SpecialityInternal Medicine
Location700 E Marshall Ave, Longview, Texas
Authorized Official Name and PositionMichael Pawlowski (OWNER/PRESIDENT)
Authorized Official Contact3376091221
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northeast Texas Intensivists, Pllc
200 Corporate Blvd
Lafayette
LA 70508-3870

Ph: (800) 893-9698		Northeast Texas Intensivists, Pllc
700 E Marshall Ave
Longview
TX 75601-5580

Ph: (903) 315-2000

NPI Details:

NPI Number1497536676
Provider Enumeration Date10/12/2023
Last Update Date06/12/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5092167528
Medicare Enrollment IDO20240119001805

Medical Identifiers

Medical identifiers for Northeast Texas Intensivists, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497536676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0200XInternal Medicine - Critical Care Medicine (* (Not Available))Primary
363A00000XPhysician Assistant (* (Not Available))Secondary
363L00000XNurse Practitioner (* (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. Northeast Texas Intensivists, Pllc acts as a billing entity for following providers:
Provider NameBaher M Elhalwagi
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1235116393
PECOS PAC ID: 8325145709
Enrollment ID: I20070518000437
Provider NameNikolay Azarov
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1093937948
PECOS PAC ID: 0446330989
Enrollment ID: I20080109000456
Provider NameEli Azzi
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1770548786
PECOS PAC ID: 9032107602
Enrollment ID: I20081121000023
Provider NameVenkatesh Babu Donty
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1518168160
PECOS PAC ID: 6406906791
Enrollment ID: I20090608000483
Provider NameWilliam Scott Cantwell
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1851592075
PECOS PAC ID: 4284799479
Enrollment ID: I20091209000404
Provider NameJacy L Retz
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1285667089
PECOS PAC ID: 5890883615
Enrollment ID: I20100831000888
Provider NameAdam Jing-cheng Yu
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1437136520
PECOS PAC ID: 5799967121
Enrollment ID: I20110307000818
Provider NameR Kent Vandergriff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215230586
PECOS PAC ID: 1254515935
Enrollment ID: I20110404000539
Provider NameCarlton John Rojas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760770028
PECOS PAC ID: 7315119377
Enrollment ID: I20111017000641
Provider NameJeremy S Locke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518214493
PECOS PAC ID: 4587813118
Enrollment ID: I20120925000816
Provider NameDelinda Wills
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1063531804
PECOS PAC ID: 4880848118
Enrollment ID: I20130410000507
Provider NameSam Eljammal
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1669604310
PECOS PAC ID: 3577694751
Enrollment ID: I20130830000473
Provider NameSuman K Sinha
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1114947900
PECOS PAC ID: 8628061397
Enrollment ID: I20140220001345
Provider NameGautam Baskaran
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1679732549
PECOS PAC ID: 5799914313
Enrollment ID: I20140716001364
Provider NameLisa Gamble
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1710998232
PECOS PAC ID: 5991779175
Enrollment ID: I20161031000417
Provider NameMatthew S Greene
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942743547
PECOS PAC ID: 6305128240
Enrollment ID: I20170130000260
Provider NameTerri Lee Hoffman
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1871512137
PECOS PAC ID: 3577450733
Enrollment ID: I20170412001810
Provider NameSteven H Hsu
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1164708772
PECOS PAC ID: 9234451188
Enrollment ID: I20170628003224
Provider NameOluwaseyi D Adejorin
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1770895252
PECOS PAC ID: 9638312820
Enrollment ID: I20180511001137
Provider NameEhson Javaid
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1528351715
PECOS PAC ID: 3870813611
Enrollment ID: I20180712001803
Provider NameMark Winston Smith
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1326111790
PECOS PAC ID: 1658465695
Enrollment ID: I20181029000934
Provider NameAllen D Adams
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1700862794
PECOS PAC ID: 7517919053
Enrollment ID: I20181106000784
Provider NameLalith P. Premachandra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083025530
PECOS PAC ID: 9931481926
Enrollment ID: I20181112000422
Provider NameKarina R Bartlett
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831518026
PECOS PAC ID: 1951683473
Enrollment ID: I20190607001369
Provider NameJonathan Lewis Henderson
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1497910459
PECOS PAC ID: 5496995656
Enrollment ID: I20190624000879
Provider NameEric Bradley Vogt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033739388
PECOS PAC ID: 1456772649
Enrollment ID: I20200526000461
Provider NameVincente Nelson
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1306157110
PECOS PAC ID: 0345535977
Enrollment ID: I20210128002297
Provider NameAsghar Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922354174
PECOS PAC ID: 2062733009
Enrollment ID: I20210616000181
Provider NameMichael Patrick Hunter
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1386023471
PECOS PAC ID: 7810248853
Enrollment ID: I20210723000655
Provider NameHaley Nicole Fitzgerald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114598976
PECOS PAC ID: 7810393279
Enrollment ID: I20210909002713
Provider NameBrandi Ross-douglas
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1588779904
PECOS PAC ID: 0941205876
Enrollment ID: I20210930003000
Provider NameCorey Jude Young
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730838905
PECOS PAC ID: 1850778911
Enrollment ID: I20220512000032
Provider NameFaisal Arif
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1891927810
PECOS PAC ID: 4284880881
Enrollment ID: I20220730000448
Provider NameRashed A Alfarra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184078826
PECOS PAC ID: 8123312782
Enrollment ID: I20220815001622
Provider NameAjit M Alexander
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1861888760
PECOS PAC ID: 8022313360
Enrollment ID: I20221003000028
Provider NameKaylee Browning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073247516
PECOS PAC ID: 9537535687
Enrollment ID: I20221014002162
Provider NameEdwin Isaboke Karanja
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194292888
PECOS PAC ID: 2769855790
Enrollment ID: I20230222001805
Provider NameAmmar Malik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659720522
PECOS PAC ID: 9931496551
Enrollment ID: I20230807000112
Provider NameMichelle Shieh
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1669867156
PECOS PAC ID: 7517202419
Enrollment ID: I20230807002071
Provider NameTimothy R Shutter
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1285127704
PECOS PAC ID: 3870955107
Enrollment ID: I20230817001982
Provider NameDoris Li
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1053544569
PECOS PAC ID: 9739226697
Enrollment ID: I20231009001906

Reviews and Comments


Internal Medicine in Longview, TX

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Gail D Stockman Md, Pa
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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.