Active NPI
Laura Pacek, P.A.
- Physician Assistant
- Yorktown, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01213
- Practice address
- 508 N Riedel St
Yorktown, TX 78164-1810 - Phone
- (361) 564-9230
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01213 | TX | Primary |
Addresses
Primary practice location
508 N Riedel St
Yorktown, TX 78164-1810
Mailing address
508 N Riedel St
Yorktown, TX 78164-1810
Phone (361) 564-9230
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA01213 | Other | TX | PA LIC |
| 285135404 | Medicaid | TX | |
| 346885YK7Y | Other | TX | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
113 W Main St
Kenedy, TX 78119-2717
Phone (830) 583-0612
139 W Franklin St
Goliad, TX 77963-4281
Phone (361) 645-8235
2500 N Esplanade St
Cuero, TX 77954-4723
2500 N Esplanade St
Cuero, TX 77954-4727
Phone (361) 275-3466
508 N Riedel St
Yorktown, TX 78164-1810
Phone (361) 564-9230
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01213 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dewitt Medical District | Current | Accepting new patients | |
| Dewitt Medical District | Current | Accepting new patients | |
| Dewitt Medical District | Past | Accepting new patients |
Locations
2500 N Esplanade St
Ste 101
Cuero, TX 77954
Phone (361) 275-2381
2550 N Esplanade St
Cuero, TX 77954
Phone (361) 275-0532
113 W Main St
Kenedy, TX 78119
Phone (830) 583-0612
508 N Riedel St
Yorktown, TX 78164
Phone (361) 564-3383
670 W 4th St
Yorktown, TX 78164
Phone (361) 564-2275
Interoperability endpoints
- laurapacek@dmdclinic.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Cuero, TX
- NPI 1366532608
-
- Emergency Medicine Physician
- Cuero, TX
- NPI 1699288811
-
- Skilled Nursing Facility
- Katy, TX
- NPI 1053511980
-
- Rural Health Clinic/Center
- Cuero, TX
- NPI 1730557026
-
- Rural Health Clinic/Center
- Cuero, TX
- NPI 1659770030
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Cuero, TX
- NPI 1437148020
-
- Critical Access Hospital
- Kenedy, TX
- NPI 1699772541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1437193943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 N RIEDEL ST",
"city": "YORKTOWN",
"state": "TX",
"postal_code": "781641810",
"telephone_number": "361-564-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 N RIEDEL ST",
"city": "YORKTOWN",
"state": "TX",
"postal_code": "781641810",
"telephone_number": "361-564-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACEK",
"first_name": "LAURA",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA01213",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LIC",
"identifier": "PA01213",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285135404",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "346885YK7Y",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yorktown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.