- Medicare Primary Care in Terrell, TX

is a medicare enrolled primary clinic (Nurse Practitioner - Gerontology) in Terrell, Texas. The current practice location for is 904 W Moore Ave Ste B, Terrell, Texas. For appointments, you can reach them via phone at (972) 563-1475. The mailing address for is 904 W. Moore Ave., Suite B, Forney, Texas and phone number is (972) 563-1475.

is licensed to practice in Texas (license number ). The clinic also participates in the medicare program and its NPI number is 1093235046. 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 (972) 563-1475.

Contact Information

904 W Moore Ave Ste B
Terrell
TX 75160-3004
(972) 563-1475
(972) 524-5132

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityNurse Practitioner
Location904 W Moore Ave Ste B, Terrell, Texas
Authorized Official Name and PositionMichael O Idemudia (OWNER)
Authorized Official Contact9725631475
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

904 W. Moore Ave.
Suite B
Forney
TX 75126-0228

Ph: (972) 563-1475

904 W Moore Ave Ste B
Terrell
TX 75160-3004

Ph: (972) 563-1475

NPI Details:

NPI Number1093235046
Provider Enumeration Date06/21/2017
Last Update Date12/19/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6507137395
Medicare Enrollment IDO20170814001146

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093235046NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
363LG0600XNurse Practitioner - Gerontology (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 NameMichael O Idemudia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306391396
PECOS PAC ID: 3577844729
Enrollment ID: I20161229001283
Provider NameNkechi Renneth Idemudia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083169973
PECOS PAC ID: 0648547844
Enrollment ID: I20170907003156

Reviews and Comments


Nurse Practitioner in Terrell, TX

Priti B. Vyas; M.d. P.a.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 809 W Nash St, Terrell, TX 75160
Phone: 972-563-6493    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 200 N Virginia St, Terrell, TX 75160
Phone: 972-551-7500    Fax: 972-524-7418
Regional Health Clinic At Terrell Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1553 State Highway 34 S, Ste 100, Terrell, TX 75160
Phone: 972-563-1475    Fax: 972-524-5132

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1553 Highway 34 S, Suite 300, Terrell, TX 75160
Phone: 972-563-1636    Fax: 972-551-6968

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 724 E Moore Ave Ste A, Terrell, TX 75160
Phone: 469-925-5832    

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1553 Highway 34 S, Suite 300, Terrell, TX 75160
Phone: 972-563-4007    Fax: 972-563-4003

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.