| Planet Med Lp | |
|
833 W Dove Ave Mcallen TX 78504-3508 | |
| (956) 618-3979 | |
| (956) 618-3975 |
| Full Name | Planet Med Lp |
|---|---|
| Speciality | Family Medicine |
| Location | 833 W Dove Ave, Mcallen, Texas |
| Authorized Official Name and Position | Richard Fleming (MANAGING PARTNER) |
| Authorized Official Contact | 9566183979 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Planet Med Lp Po Box 3238 Mission TX 78573-0055 Ph: (956) 618-3979 | Planet Med Lp 833 W Dove Ave Mcallen TX 78504-3508 Ph: (956) 618-3979 |
| NPI Number | 1811969819 |
|---|---|
| Provider Enumeration Date | 02/03/2006 |
| Last Update Date | 02/27/2018 |
| Medicare PECOS PAC ID | 7810926227 |
|---|---|
| Medicare Enrollment ID | O20050805000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811969819 | NPI | - | NPPES |
| 175510002 | Other | TX | MEDICAID CHSCN |
| DD8180 | Other | TX | RAILROAD MEDICARE |
| 0027NC | Other | TX | BLUE CROSS BLUE SHIELD |
| 175510001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Richard A Fleming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548232531 PECOS PAC ID: 3072542489 Enrollment ID: I20050805000756 |
| Provider Name | Luis Edgardo Ferrufino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720230725 PECOS PAC ID: 8820263551 Enrollment ID: I20120523000291 |
| Provider Name | Marco A Yanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407265853 PECOS PAC ID: 8022381946 Enrollment ID: I20170829000581 |
| Provider Name | Nadir Khan Baluch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184009573 PECOS PAC ID: 8022326719 Enrollment ID: I20201123001273 |
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