Clarendon Family Medicine, PLLC
A Medicare group practice based in Clarendon, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 0749648376), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0749648376
- Provider type
- Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TX
- Enrollments
- 2
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230614001029 | TX | Part B Supplier - Clinic/Group Practice | 1497458319 |
| O20231011001075 | TX | Part A Provider - Rural Health Clinic | 1326738584 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Clarendon Family Medicine PLLC
- Rural Health Clinic/Center
- Clarendon, TX
- NPI 1326738584
-
Clarendon Family Medicine PLLC
- Clinic/Center
- Clarendon, TX
- NPI 1497458319
Practice locations
- Clarendon, TX2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (5).
-
Kathryn Broussard, FNP-C
- Family Nurse Practitioner
- Clarendon, TX
- NPI 1225579774
-
Peter N Jones, FNP-C
- Family Nurse Practitioner
- Childress, TX
- NPI 1235220880
-
Cassie Deanice Patterson, APRN,FNP-C
- Family Nurse Practitioner
- Wellington, TX
- NPI 1851856603
-
Devah Nikole Pittman, PA-C
- Physician Assistant
- Clarendon, TX
- NPI 1053592444
-
Dustin Robert Pratt, M.D.
- Family Medicine Physician
- Childress, TX
- NPI 1912199456
-
Sarah Elizabeth Ybarra, NP
- Family Nurse Practitioner
- Amarillo, TX
- NPI 1316691694
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.