| Swing Care Provider Group, P.c. | |
|
7008 Salem Ave Ste 117 Lubbock TX 79424-2226 | |
| (262) 667-7326 | |
| (877) 349-1868 |
| Full Name | Swing Care Provider Group, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 7008 Salem Ave Ste 117, Lubbock, Texas |
| Authorized Official Name and Position | Andrea Chadwick (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8009247811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swing Care Provider Group, P.c. 440 N Barranca Ave # 1801 Covina CA 91723-1722 Ph: (800) 924-7811 | Swing Care Provider Group, P.c. 7008 Salem Ave Ste 117 Lubbock TX 79424-2226 Ph: (262) 667-7326 |
| NPI Number | 1447971916 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 0244601904 |
|---|---|
| Medicare Enrollment ID | O20230117003072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447971916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Saritha G Pothuluri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457387995 PECOS PAC ID: 3274526355 Enrollment ID: I20040405001535 |
| Provider Name | Jennifer E Zuccarelli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760736904 PECOS PAC ID: 6507233277 Enrollment ID: I20221117002469 |
| Provider Name | Dianne Shumay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801936885 PECOS PAC ID: 6305940214 Enrollment ID: I20240409002132 |
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