St Mary's Physician Services Llc - Medicare Primary Care in Russellville, AR

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St Mary's Physician Services Llc is a medicare enrolled primary clinic (General Practice) in Russellville, Arkansas. The current practice location for St Mary's Physician Services Llc is 101 Skyline Dr, Russellville, Arkansas. For appointments, you can reach them via phone at (479) 968-2345. The mailing address for St Mary's Physician Services Llc is 101 Skyline Dr, Russellville, Arkansas and phone number is (479) 968-2345.

St Mary's Physician Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124084991. 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 (479) 968-2345.

Contact Information

St Mary's Physician Services Llc
101 Skyline Dr
Russellville
AR 72801-3363
(479) 968-2345
(479) 890-2497

Map and Direction


Primary Care Clinic Profile

Full NameSt Mary's Physician Services Llc
SpecialityGeneral Practice
Location101 Skyline Dr, Russellville, Arkansas
Authorized Official Name and PositionMonic Bowman (PRESIDENT)
Authorized Official Contact6159207000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
St Mary's Physician Services Llc
101 Skyline Dr
Russellville
AR 72801-3363

Ph: (479) 968-2345		St Mary's Physician Services Llc
101 Skyline Dr
Russellville
AR 72801-3363

Ph: (479) 968-2345

NPI Details:

NPI Number1124084991
Provider Enumeration Date04/21/2006
Last Update Date02/07/2023

Medicare PECOS Information:

Medicare PECOS PAC ID4981698032
Medicare Enrollment IDO20040609000759

Medical Identifiers

Medical identifiers for St Mary's Physician Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124084991NPI-NPPES
DA8026OtherRAILROAD MEDICARE PTAN
152955002MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. St Mary's Physician Services Llc acts as a billing entity for following providers:
Provider NameZbigniew T Beyga
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1699743831
PECOS PAC ID: 1658277819
Enrollment ID: I20031209000499
Provider NameTimothy Samuel Johnson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1023074119
PECOS PAC ID: 3375536303
Enrollment ID: I20040406000815
Provider NameLynette J Smith
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134185317
PECOS PAC ID: 8022001064
Enrollment ID: I20040406000893
Provider NameJeffrey K Yates
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932165024
PECOS PAC ID: 3577556448
Enrollment ID: I20040406001231
Provider NameHomer Kevin Beavers
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982660742
PECOS PAC ID: 0042203945
Enrollment ID: I20040406001381
Provider NameJames M Carter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518923861
PECOS PAC ID: 8123012242
Enrollment ID: I20040412001564
Provider NameMichael F Bell
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1407812589
PECOS PAC ID: 3375537111
Enrollment ID: I20040413001576
Provider NameDennis W Berner
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760448534
PECOS PAC ID: 7012902240
Enrollment ID: I20040417000221
Provider NameJames Crouch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437115508
PECOS PAC ID: 4587659727
Enrollment ID: I20040417000284
Provider NameJody C Callaway
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1245296961
PECOS PAC ID: 4880689942
Enrollment ID: I20040417000479
Provider NameWilliam S Sosebee
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1326004060
PECOS PAC ID: 3375538143
Enrollment ID: I20040420000324
Provider NameBarry William Mccraw
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831155191
PECOS PAC ID: 7315938487
Enrollment ID: I20040519000590
Provider NameG Scott S Dicus
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033100433
PECOS PAC ID: 0446234603
Enrollment ID: I20040615001315
Provider NameMichael Brandon Pafford
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1508814617
PECOS PAC ID: 4587649314
Enrollment ID: I20040623001692
Provider NameKeith A Ison
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497711279
PECOS PAC ID: 5193701431
Enrollment ID: I20040628000039
Provider NameArlis D Barton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528024866
PECOS PAC ID: 4880668813
Enrollment ID: I20040824001295
Provider NameFauzia Qadir
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982616231
PECOS PAC ID: 6507826781
Enrollment ID: I20041012001339
Provider NameMichael W Escue
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1871559955
PECOS PAC ID: 8820029796
Enrollment ID: I20050830000993
Provider NameStephen P King
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144266727
PECOS PAC ID: 2062405020
Enrollment ID: I20060824000061
Provider NameMary Melissa Darnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497964571
PECOS PAC ID: 6709975147
Enrollment ID: I20071207000515
Provider NameCarey Ellis Laffoon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720284318
PECOS PAC ID: 8921198896
Enrollment ID: I20071214000648
Provider NameMuhammad I Shakir
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952352213
PECOS PAC ID: 0446336408
Enrollment ID: I20080401000167
Provider NameRick Harrison
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316903669
PECOS PAC ID: 6103819115
Enrollment ID: I20080611000182
Provider NameOwen L Kelly
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1962461707
PECOS PAC ID: 5092801472
Enrollment ID: I20080618000168
Provider NameVenkata Subrahmanya Sastry Prayaga
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1487699864
PECOS PAC ID: 3274509260
Enrollment ID: I20080822000534
Provider NameDave D Weems
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710974944
PECOS PAC ID: 9638136914
Enrollment ID: I20081008000716
Provider NameMichael B. Mayfield
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1306894803
PECOS PAC ID: 3577623073
Enrollment ID: I20081113000336
Provider NameSheharyar Ali
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1427099712
PECOS PAC ID: 6901792423
Enrollment ID: I20090616000247
Provider NameKim Graves
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245200971
PECOS PAC ID: 8123192846
Enrollment ID: I20091207000074
Provider NameDavid G Nelson
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1720109796
PECOS PAC ID: 9537291828
Enrollment ID: I20100722000380
Provider NameChristina M Bartlett
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1649484452
PECOS PAC ID: 0941333637
Enrollment ID: I20100802000599
Provider NameThomas Reinsvold
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1154367332
PECOS PAC ID: 8820060650
Enrollment ID: I20100823000846
Provider NameKristen M Nelson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1073720868
PECOS PAC ID: 2365637212
Enrollment ID: I20101117000705
Provider NameSudheer Koyagura
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528261617
PECOS PAC ID: 8820283799
Enrollment ID: I20101117000970
Provider NameAhmad Kaako
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679798995
PECOS PAC ID: 7416142302
Enrollment ID: I20101117001185
Provider NameDarren S Freeman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740442284
PECOS PAC ID: 6305021130
Enrollment ID: I20110421000089
Provider NameShagufta Siddiqui
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710996863
PECOS PAC ID: 6305010968
Enrollment ID: I20111116000273
Provider NameWilliam W Thorpe
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013148832
PECOS PAC ID: 7012183155
Enrollment ID: I20111220000640
Provider NameStanley D Teeter
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932401080
PECOS PAC ID: 9638338726
Enrollment ID: I20120308000737
Provider NameKelly A Traylor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629343868
PECOS PAC ID: 6002078599
Enrollment ID: I20120430000080
Provider NameShuja Rasool
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1588841340
PECOS PAC ID: 9638232788
Enrollment ID: I20120809000736
Provider NameWassim T Radwan Abd El Wahab
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629208434
PECOS PAC ID: 1951559335
Enrollment ID: I20120910000065
Provider NameBashar Obeidou
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1033297031
PECOS PAC ID: 4385558196
Enrollment ID: I20121002000479
Provider NameAbdul Hakeem
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1285684845
PECOS PAC ID: 0941459606
Enrollment ID: I20121012000627
Provider NameChristina M Clark
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1588807135
PECOS PAC ID: 7012153596
Enrollment ID: I20130430000028
Provider NameMichael Mcalister
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629398276
PECOS PAC ID: 8820237076
Enrollment ID: I20130619000064
Provider NameHerbert A Lewis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558657635
PECOS PAC ID: 1254572597
Enrollment ID: I20130729000538
Provider NameSyed A Athar
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1508038597
PECOS PAC ID: 6305916313
Enrollment ID: I20130917000257
Provider NameChristian Orji
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700172145
PECOS PAC ID: 0143459909
Enrollment ID: I20140128000503
Provider NameChadwick J. Masters
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326339557
PECOS PAC ID: 8527281864
Enrollment ID: I20140514000958
Provider NameHoward M Orsburn
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1376834994
PECOS PAC ID: 3779706932
Enrollment ID: I20140516000426
Provider NameNoma W Kellner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194144964
PECOS PAC ID: 0446474373
Enrollment ID: I20140617000685
Provider NameCarl Schoenberger
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1619971140
PECOS PAC ID: 6103952429
Enrollment ID: I20141104002794
Provider NameKelly Wright
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720479223
PECOS PAC ID: 8820315161
Enrollment ID: I20150325000506
Provider NameRex L Porte
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801235783
PECOS PAC ID: 4284940917
Enrollment ID: I20150826001118
Provider NameGina Marie Vargas
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720218894
PECOS PAC ID: 1850557414
Enrollment ID: I20150914000781
Provider NameKate Gazenko
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1245435213
PECOS PAC ID: 2769625045
Enrollment ID: I20150918001153
Provider NameNathan R Henderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013250182
PECOS PAC ID: 9133430085
Enrollment ID: I20150928000657
Provider NameLensey C Scott
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1225126626
PECOS PAC ID: 7416082797
Enrollment ID: I20151223000334
Provider NameMalek Al-hawwas
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1093980526
PECOS PAC ID: 6204988256
Enrollment ID: I20160121002335
Provider NameJonathan D Brixey
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629336078
PECOS PAC ID: 5092032912
Enrollment ID: I20160607000477
Provider NameAhmad Yousaf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033405824
PECOS PAC ID: 8527375773
Enrollment ID: I20160827000028
Provider NameErin Jo Dodge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245683895
PECOS PAC ID: 4789970740
Enrollment ID: I20160831001341
Provider NamePraveen Natakal Pakeerappa
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1457645830
PECOS PAC ID: 8729387964
Enrollment ID: I20160831002351
Provider NameYazan Ghosheh
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1861706046
PECOS PAC ID: 6406159649
Enrollment ID: I20170724003363
Provider NameJanet K Corbett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104838945
PECOS PAC ID: 0547166001
Enrollment ID: I20170926002281
Provider NameSara Damron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104340645
PECOS PAC ID: 1557636701
Enrollment ID: I20171013002102
Provider NameJames Albert Johnson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1053378257
PECOS PAC ID: 8325001662
Enrollment ID: I20180124000791
Provider NameVishwanatha Nadig
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1740266998
PECOS PAC ID: 1355330242
Enrollment ID: I20180223000081
Provider NameAnita Xayapheth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962919282
PECOS PAC ID: 0749541001
Enrollment ID: I20180301000100
Provider NameJennifer Jacobs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134622806
PECOS PAC ID: 2365705431
Enrollment ID: I20180424002692
Provider NameHannah Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316443898
PECOS PAC ID: 9032473129
Enrollment ID: I20180425001110
Provider NameJeremiah Scott Rutherford
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801035969
PECOS PAC ID: 3870633183
Enrollment ID: I20180426000259
Provider NameStormy Elaine Stane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851894075
PECOS PAC ID: 2860756848
Enrollment ID: I20180426002481
Provider NameAshley N Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891294443
PECOS PAC ID: 4284998022
Enrollment ID: I20180503000935
Provider NameZachary Morrill
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063894194
PECOS PAC ID: 7810205309
Enrollment ID: I20180629001718
Provider NameKapil Yadav
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1265729537
PECOS PAC ID: 8123374923
Enrollment ID: I20180710000876
Provider NameJefferson John Cartwright
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1285678300
PECOS PAC ID: 7012810179
Enrollment ID: I20180827000656
Provider NameKendra Leann Fletcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912486648
PECOS PAC ID: 7517210586
Enrollment ID: I20181022003081
Provider NameMuhammad Khalil
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1184038598
PECOS PAC ID: 4880950401
Enrollment ID: I20181211000968
Provider NameRobert Leighton Hubley
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1659537736
PECOS PAC ID: 3375690522
Enrollment ID: I20190131001759
Provider NameRande Brooke Rye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225594336
PECOS PAC ID: 6608109715
Enrollment ID: I20190605000124
Provider NameSyed Mustafa
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1326393885
PECOS PAC ID: 9739413022
Enrollment ID: I20190619003530
Provider NameKeena Noelle Melton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467835611
PECOS PAC ID: 3971830506
Enrollment ID: I20190806000585
Provider NameMichael Douglas Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063866135
PECOS PAC ID: 4981932282
Enrollment ID: I20190824000178
Provider NameOrin Paul Trentham
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992740260
PECOS PAC ID: 1850489568
Enrollment ID: I20200319002706
Provider NameCindy Nicole Burnett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699308544
PECOS PAC ID: 4385073014
Enrollment ID: I20200401001710
Provider NameKeely Hatfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104459478
PECOS PAC ID: 0042649790
Enrollment ID: I20200401002574
Provider NameBlake Dixon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518316702
PECOS PAC ID: 7315295854
Enrollment ID: I20200619001164
Provider NameNorman Weinstein
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1992754360
PECOS PAC ID: 3577559319
Enrollment ID: I20200903000838
Provider NameColin Adrian Meghoo
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1871660597
PECOS PAC ID: 7416249610
Enrollment ID: I20201020001839
Provider NameJudith Degraff
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1467544403
PECOS PAC ID: 8527952233
Enrollment ID: I20210121001492
Provider NameJoseph M Sturdivant
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053514455
PECOS PAC ID: 7517123342
Enrollment ID: I20210419000037
Provider NameKathryn I Parker
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285087429
PECOS PAC ID: 2466728530
Enrollment ID: I20210615001425
Provider NameJulia Michelle Hall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477045680
PECOS PAC ID: 8224432281
Enrollment ID: I20210812002617
Provider NameAnusha Jillella
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1760845804
PECOS PAC ID: 6305138504
Enrollment ID: I20210818003600
Provider NameRachana Dandamudi Miller
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295231504
PECOS PAC ID: 5193120319
Enrollment ID: I20210825002754
Provider NameSwapna Manyam
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326500406
PECOS PAC ID: 6103151634
Enrollment ID: I20220131000319
Provider NameZoltan Varga
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1336645225
PECOS PAC ID: 8123382306
Enrollment ID: I20220610000144
Provider NameNathaniel Eastman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1023125887
PECOS PAC ID: 9830163120
Enrollment ID: I20220706001692
Provider NameDaniel Para
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1205830684
PECOS PAC ID: 0042103152
Enrollment ID: I20220713002921
Provider NameMina Michael
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124687157
PECOS PAC ID: 1850779224
Enrollment ID: I20220718002524
Provider NameJohn D Ferguson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104387562
PECOS PAC ID: 2264766229
Enrollment ID: I20220725001130
Provider NameMateo Guarderas Ribadeneira
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1487004990
PECOS PAC ID: 6406238229
Enrollment ID: I20220726003327
Provider NameMuska Ullah
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1265094213
PECOS PAC ID: 5799012803
Enrollment ID: I20220830004030
Provider NameJuiting Chen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235844952
PECOS PAC ID: 6709258353
Enrollment ID: I20230208002754
Provider NameChaitanya Korrapati
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033524863
PECOS PAC ID: 5092096610
Enrollment ID: I20230215000925
Provider NameVictoria Jayne Langford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386340222
PECOS PAC ID: 2567835937
Enrollment ID: I20230306001321
Provider NameMatthew C Steele
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801425202
PECOS PAC ID: 4183046287
Enrollment ID: I20230814003243
Provider NameHeather Marie Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447932033
PECOS PAC ID: 7416301395
Enrollment ID: I20230926003069

Reviews and Comments


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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.