Port Lavaca Clinic Associates Pa - Medicare Primary Care in Port Lavaca, TX

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Port Lavaca Clinic Associates Pa is a medicare enrolled primary clinic (Family Medicine) in Port Lavaca, Texas. The current practice location for Port Lavaca Clinic Associates Pa is 1200 North Virginia, Port Lavaca, Texas. For appointments, you can reach them via phone at (361) 552-6721. The mailing address for Port Lavaca Clinic Associates Pa is 1200 North Virginia, Port Lavaca, Texas and phone number is (361) 552-6721.

Port Lavaca Clinic Associates Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1144262957. 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 (361) 552-6721.

Contact Information

Port Lavaca Clinic Associates Pa
1200 North Virginia
Port Lavaca
TX 77979-2507
(361) 552-6721
(361) 552-7463

Map and Direction


Primary Care Clinic Profile

Full NamePort Lavaca Clinic Associates Pa
SpecialityFamily Medicine
Location1200 North Virginia, Port Lavaca, Texas
Authorized Official Name and PositionHelen Loya (ADMINISTRATIVE ASSITANT)
Authorized Official Contact3615536560
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Port Lavaca Clinic Associates Pa
1200 North Virginia
Port Lavaca
TX 77979-2507

Ph: (361) 552-6721		Port Lavaca Clinic Associates Pa
1200 North Virginia
Port Lavaca
TX 77979-2507

Ph: (361) 552-6721

NPI Details:

NPI Number1144262957
Provider Enumeration Date06/13/2006
Last Update Date02/27/2015

Medicare PECOS Information:

Medicare PECOS PAC ID3971565193
Medicare Enrollment IDO20041101000085

Medical Identifiers

Medical identifiers for Port Lavaca Clinic Associates Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144262957NPI-NPPES
133513504MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
208000000XPediatrics (* (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. Port Lavaca Clinic Associates Pa acts as a billing entity for following providers:
Provider NameTimu Niratsuwan Kwi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164465415
PECOS PAC ID: 8628028941
Enrollment ID: I20050125000555
Provider NameJohn B Wright
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215086228
PECOS PAC ID: 4082712898
Enrollment ID: I20070601000251
Provider NameJeannine L Griffin
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700812724
PECOS PAC ID: 5890858013
Enrollment ID: I20090114000743
Provider NameLeigh A Falcon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871738286
PECOS PAC ID: 7012063860
Enrollment ID: I20090918000384
Provider NameRichard Arroyo-diaz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629005418
PECOS PAC ID: 9234271016
Enrollment ID: I20100115000648
Provider NameMichael Caughron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780071506
PECOS PAC ID: 5597072470
Enrollment ID: I20150910001224
Provider NameDestiny D Ibrom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487153573
PECOS PAC ID: 5395009534
Enrollment ID: I20180516000040
Provider NameHenry Salinas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124502596
PECOS PAC ID: 4183977895
Enrollment ID: I20181026000874
Provider NameJohn W Clinton
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1740609601
PECOS PAC ID: 2769718675
Enrollment ID: I20190731000685
Provider NameVictoria L Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790430254
PECOS PAC ID: 5092101618
Enrollment ID: I20220407002676

Reviews and Comments


Family Medicine in Port Lavaca, TX

Memorial Medical Clinic Hospital Campus
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 815 N Virginia St Fl 2, Port Lavaca, TX 77979
Phone: 361-552-0379    Fax: 361-500-6904
New Vitality Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1207 N Virginia St, Port Lavaca, TX 77979
Phone: 361-746-1588    Fax: 361-400-5310
Memorial Medical Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1016 N Virginia St, Port Lavaca, TX 77979
Phone: 361-552-0325    Fax: 361-500-6904
Memorial Medical Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 815 N Virginia St, Port Lavaca, TX 77979
Phone: 361-552-0325    Fax: 361-553-7815

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.