Panhandle Gastroenterology, Pa | |
800 Quail Creek Dr Suite 101 Amarillo TX 79124-1634 | |
(806) 354-9400 | |
(806) 354-9403 |
Full Name | Panhandle Gastroenterology, Pa |
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Speciality | Internal Medicine |
Location | 800 Quail Creek Dr, Amarillo, Texas |
Authorized Official Name and Position | Kuldip S Banwait (CEO) |
Authorized Official Contact | 8063549400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Panhandle Gastroenterology, Pa Po Box 50537 Amarillo TX 79159-0537 Ph: (806) 354-9400 | Panhandle Gastroenterology, Pa 800 Quail Creek Dr Suite 101 Amarillo TX 79124-1634 Ph: (806) 354-9400 |
NPI Number | 1437336211 |
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Provider Enumeration Date | 01/24/2008 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 1052499621 |
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Medicare Enrollment ID | O20080422000853 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437336211 | NPI | - | NPPES |
M4993 | Other | TX | PHYSICIAN PERMIT |
0031QW | Other | TX | BCBS PROVIDER GROUP NO. |
00Y904 | Other | TX | MEDICARE GROUP BILLING NUMBER |
184296503 | Medicaid | TX | |
7830853 | Other | TX | AETNA PROVIDER ID |
DN1508 | Other | RAILROAD MEDICARE | |
00149690 | Other | TX | DPS |
197441201 | Other | TX | MEDICAID GROUP BILLING NUMBER |
8AW200 | Other | TX | BCBS PROVIDER NO. |
8J2689 | Other | TX | JO WYATT CLINIC MEDICARE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | M4993 (Texas) | Primary |
Provider Name | Kuldip S Banwait |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1699877670 PECOS PAC ID: 0143117390 Enrollment ID: I20070330000206 |
Provider Name | Sarah Christine Lozano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629364435 PECOS PAC ID: 1355512062 Enrollment ID: I20110928000591 |
Provider Name | Christopher Jones |
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Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1346538139 PECOS PAC ID: 3375830706 Enrollment ID: I20160928001185 |
Provider Name | Caroline Triana Lupercio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750043626 PECOS PAC ID: 3678962529 Enrollment ID: I20211115001045 |
Srinivas Pathapati, Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6833 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-467-9820 Fax: 806-467-9743 | |
Eres Bella, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5215 S Coulter St Ste 200, Amarillo, TX 79119 Phone: 806-672-9929 Fax: 806-553-1531 | |
Ron K. Rankin, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 W 14th Ave, Amarillo, TX 79101 Phone: 806-622-2725 Fax: 806-352-4887 | |