- Medicare Primary Care in Lantana, TX

  1. Home
  2. Primary Care Clinics
  3. TX
  4. Lantana
is a medicare enrolled primary clinic (Pharmacy - Community/retail Pharmacy) in Lantana, Texas. The current practice location for is 101 Old Town Blvd S, Suite 102, Lantana, Texas. For appointments, you can reach them via phone at (940) 464-4500. The mailing address for is 101 Old Town Blvd S, Suite 102, Lantana, Texas and phone number is (940) 464-4500.

is licensed to practice in Texas (license number 31051). The clinic also participates in the medicare program and its NPI number is 1063955730. 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 (940) 464-4500.

Contact Information

101 Old Town Blvd S
Suite 102
Lantana
TX 76226-3968
(940) 464-4500
(940) 464-4533

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityPharmacy
Location101 Old Town Blvd S, Lantana, Texas
Authorized Official Name and PositionVicki Woelfel (PHARMACIST)
Authorized Official Contact2145295604
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

101 Old Town Blvd S
Suite 102
Lantana
TX 76226-3968

Ph: (940) 464-4500
101 Old Town Blvd S
Suite 102
Lantana
TX 76226-3968

Ph: (940) 464-4500

NPI Details:

NPI Number1063955730
Provider Enumeration Date11/29/2016
Last Update Date06/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5991042574
Medicare Enrollment IDO20190122001427

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063955730NPI-NPPES
149547MedicaidTX
2165725OtherPK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
333600000XPharmacy (* (Not Available))Secondary
3336C0003XPharmacy - Community/retail Pharmacy 31051 (Texas)Primary
3336C0004XPharmacy - Compounding Pharmacy (* (Not Available))Secondary

Reviews and Comments


Pharmacy in Lantana, TX

Illuminate Medical Group Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1028 Truman Rd, Lantana, TX 76226
Phone: 940-220-9996    

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.