Sudan Medical Clinic, LLC

PAC ID

7618999004The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice

Enrolled in

TX

Enrollments

2

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 1 place

Enrollment records 2

These NPI records belong to the same enrolled organization. Each has its own page.

• Sudan Medical Clinic, LLC

  • Physician Assistant
  • Sudan, TX
  • NPI 1215942073
• Sudan Medical Clinic, LLC

  dba Sudan Medical Clinic - Muleshoe Location

  • Rural Health Clinic/Center
  • Muleshoe, TX
  • NPI 1225644537

Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (3).

• Lisa M Allen, PA-C

  • Physician Assistant
  • Sudan, TX
  • NPI 1174639595
• Erin Jo Gonzales, FNP-C

  • Family Nurse Practitioner
  • Sudan, TX
  • NPI 1265927545
• Mark Lee McClanahan, D.O.

  • Family Medicine Physician
  • Plainview, TX
  • NPI 1750377198
• Jaysol Eysbet Venzor, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Sudan, TX
  • NPI 1255054755

• 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.