Rushing Ancillary Services | |
5005 Live Oak St Greenville TX 75402-6364 | |
(903) 455-3500 | |
(903) 455-3509 |
Full Name | Rushing Ancillary Services |
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Speciality | Internal Medicine |
Location | 5005 Live Oak St, Greenville, Texas |
Authorized Official Name and Position | Gina S Rushing (PHYSICIAN OWNER) |
Authorized Official Contact | 9034553500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rushing Ancillary Services 5005 Live Oak St Greenville TX 75402-6364 Ph: (903) 455-3500 | Rushing Ancillary Services 5005 Live Oak St Greenville TX 75402-6364 Ph: (903) 455-3500 |
NPI Number | 1891165734 |
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Provider Enumeration Date | 10/05/2015 |
Last Update Date | 10/05/2015 |
Medicare PECOS PAC ID | 0749583128 |
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Medicare Enrollment ID | O20160119000860 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891165734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K6283 (Texas) | Primary |
Provider Name | Jennifer Rybicki |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205015450 PECOS PAC ID: 9739279092 Enrollment ID: I20071226000493 |
Provider Name | Gina S Rushing |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922056845 PECOS PAC ID: 2365480910 Enrollment ID: I20100429001198 |
Provider Name | Dawn Michelle Madkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912406661 PECOS PAC ID: 9931460664 Enrollment ID: I20180221000185 |
Provider Name | Melinda F Lawhorn |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639719123 PECOS PAC ID: 8022423656 Enrollment ID: I20210212000803 |
Provider Name | Jennifer Marie Schoenfeld |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265026801 PECOS PAC ID: 8729495387 Enrollment ID: I20210325002437 |
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