White Oak Family Medicine is a medicare enrolled primary clinic (Family Medicine) in White Oak, Texas. The current practice location for White Oak Family Medicine is 103 S White Oak Rd, White Oak, Texas. For appointments, you can reach them via phone at
(430) 625-2001. The mailing address for White Oak Family Medicine is Po Box 271, White Oak, Texas and phone number is (430) 625-2001.
White Oak Family Medicine is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1134787625. 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
(430) 625-2001.
Primary Care Clinic Profile
| Full Name | White Oak Family Medicine |
|---|
| Speciality | Family Medicine |
|---|
| Location | 103 S White Oak Rd, White Oak, Texas |
|---|
| Authorized Official Name and Position | Kelly Johnson (OWNER/PRACTITIONER) |
|---|
| Authorized Official Contact | 4306252001 |
|---|
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
White Oak Family Medicine
Po Box 271
White Oak
TX 75693-0271
Ph: (430) 625-2001 | White Oak Family Medicine
103 S White Oak Rd
White Oak
TX 75693-1517
Ph: (430) 625-2001 |
NPI Details:
| NPI Number | 1134787625 |
|---|
| Provider Enumeration Date | 05/30/2019 |
|---|
| Last Update Date | 10/18/2019 |
|---|
Medicare PECOS Information:
| Medicare PECOS PAC ID | 2769717248 |
|---|
| Medicare Enrollment ID | O20190708000414 |
|---|
Medical Identifiers
Medical identifiers for White Oak Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134787625 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (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.
White Oak Family Medicine acts as a billing entity for following providers:
| Provider Name | Kelly Catherine Teagan Johnson |
|---|
| Provider Type | Practitioner - Nurse Practitioner |
|---|
| Provider Identifiers | NPI Number: 1871151365
PECOS PAC ID: 3678808151
Enrollment ID: I20190708000471 |
|---|
Reviews and Comments