<unavail> in Longview, TX - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Longview, Texas. The current practice location for is 103a Woodbine Pl, Longview, Texas. For appointments, you can reach them via phone at (903) 212-7788. The mailing address for is Po Box 883, Longview, Texas and phone number is (903) 212-7788.

is licensed to practice in Texas (license number AP120067). The clinic also participates in the medicare program and its NPI number is 1609382209. 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 (903) 212-7788.

Contact Information


	103a Woodbine Pl Longview TX 75601-2912
	(903) 212-7788
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	103a Woodbine Pl, Longview, Texas
Authorized Official Name and Position	Daytral Brown (NURSE PRACTITIONER)
Authorized Official Contact	9032127788
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 883 Longview TX 75606-0883 Ph: (903) 212-7788	103a Woodbine Pl Longview TX 75601-2912 Ph: (903) 212-7788

NPI Details:

NPI Number	1609382209
Provider Enumeration Date	12/18/2017
Last Update Date	12/18/2017

Medicare PECOS Information:

Medicare PECOS PAC ID	2668732009
Medicare Enrollment ID	O20180205000940

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609382209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	AP120067 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Daytral Matasha Brown
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1154629798 PECOS PAC ID: 8123257086 Enrollment ID: I20180205001060

Reviews and Comments

Clinic/Center in Longview, TX

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- Medicare Primary Care in Longview, TX