Pamela Santone, D.O.
Individual provider Active NPI Family Medicine Physician · Grand Prairie, TX
NPI 1528033941 · NPPES record last updated Jun 12, 2018
Key facts
- NPI
- 1528033941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K5300 (TX)
- Practice address
- 4560 Lake Ridge Parkway
Suite 200
Grand Prairie, TX 75052 - Phone
- (972) 263-5272
- Fax
- (972) 263-3488
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Medhealth
Practice addresses (Care Compare)
4560 Lake Ridge Pkwy
Suite 200
Grand Prairie, TX 75052-1706
Phone (972) 263-5272
Hospital & facility affiliations
- DFW Home Health Arlington
- Methodist Mansfield Medical Center
- Methodist Charlton Medical Center
- Medical City Arlington
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 14 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100304000232 | TX | Practitioner - Family Practice | 1658416425 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5300 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Family Medicine | Current | Accepting new patients |
| Medhealth | Current |
Accepting new patients |
Locations
3400 W Wheatland Rd
Ste 360
Dallas, TX 75237
1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429
4116 S Carrier Pkwy
Ste 250
Grand Prairie, TX 75052
Phone (972) 263-5272
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
4560 Lake Ridge Pkwy
Ste 200
Grand Prairie, TX 75052
Phone (972) 263-5272
2821 E President George Bush Hwy
Ste 100
Richardson, TX 75082
Phone (214) 575-3422
Interoperability endpoints
- psantone14297@dm.mhd.com
- pamela.santone.1@19934.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K5300 | TX | Yes |
Addresses
Primary practice location
4560 Lake Ridge Parkway
Suite 200
Grand Prairie, TX 75052
Mailing address
3400 W Wheatland Rd
Pav III Ste#360
Dallas, TX 75237-4418
Phone (214) 947-7325
Other practice location 1
4116 S Carrier Pkwy
Ste#250
Grand Prairie, TX 75052-3200
Phone (972) 263-5272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A7075 | Other | BC/BS | |
| 146002401 | Medicaid | TX |
Other providers in Grand Prairie, TX
- Tahirah Samuels
- Elsa Estrada Sanchez
- Jorge Rene Sanchez
- Lionel Sandjong
- Adria Santiago
- Sanvan Inc
- Schubert Lynn Sapian
- Sara & Saja LLC
- Sara Downey, DC
- Sas Home Health Services Inc
All providers in Grand Prairie, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.