<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 2010 Gilmer Rd Ste 103a, Longview, Texas. For appointments, you can reach them via phone at (903) 347-5483. The mailing address for is Po Box 9711, Longview, Texas and phone number is () -.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1386210441. 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) 347-5483.

Contact Information


	2010 Gilmer Rd Ste 103a Longview TX 75604-2545
	(903) 347-5483
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2010 Gilmer Rd Ste 103a, Longview, Texas
Authorized Official Name and Position	Tameka Royal (NURSE PRACTITIONER)
Authorized Official Contact	9033994521
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 9711 Longview TX 75608-9711 Ph: () -	2010 Gilmer Rd Ste 103a Longview TX 75604-2545 Ph: (903) 347-5483

NPI Details:

NPI Number	1386210441
Provider Enumeration Date	05/31/2021
Last Update Date	09/17/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	1951708288
Medicare Enrollment ID	O20210929000320

Medical Identifiers

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

Identifier	Type	State	Issuer
1386210441	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary
261QU0200X	Clinic/center - Urgent Care	(* (Not Available))	Secondary

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	Tameka Lachell Royal
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1891190344 PECOS PAC ID: 0042530982 Enrollment ID: I20150518000801

Reviews and Comments

Clinic/Center in Longview, TX

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- Medicare Primary Care in Longview, TX