Marc D Irwin, MD
Individual provider Active NPI Family Medicine Physician · Canyon, TX
NPI 1972514974 · NPPES record last updated Dec 31, 2015
Key facts
- NPI
- 1972514974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- K3255 (TX)
- Practice address
- 911 23Rd St
Canyon, TX 79015-4600 - Phone
- (806) 655-2104
- Fax
- (806) 655-0522
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- FMC Medical Foundation, Inc.
Practice addresses (Care Compare)
911 23Rd St
Canyon, TX 79015-4645
Phone (806) 655-2104
Hospital & facility affiliations
- Bsa Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 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 |
|---|---|---|---|---|
| I20100414000513 | TX | Practitioner - Family Practice | 0749170710 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FMC Palliative Care, LLC | Current |
Accepting new patients | |
| FMC Medical Foundation, Inc. | Family Medicine | Current |
Accepting new patients |
| FMC Long-Term Care, P.a. | Family Medicine | Current |
Accepting new patients |
| FMC LTC Aco LLC | Family Medicine | Past | Accepting new patients |
Locations
1616 S Kentucky St
Ste B100
Amarillo, TX 79102
Phone (806) 355-8900
2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325
2329 Ross Osage St
Amarillo, TX 79103
Phone (806) 350-5790
911 23rd St
#0
Canyon, TX 79015
911 23rd St
Canyon, TX 79015
Phone (806) 353-6400
Interoperability endpoints
- marc.irwin.1@33715.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K3255 | TX | Yes |
Addresses
Primary practice location
911 23Rd St
Canyon, TX 79015-4600
Mailing address
911 23Rd St
Canyon, TX 79015-4600
Phone (806) 655-2104
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8A0911 | Other | TX | BCBS |
| 092485403 | Medicaid | TX | |
| 115793100 | Other | TX | FIRST CARE |
| 125233003 | Medicaid | TX |
Other providers in Canyon, TX
- Nancy Kay Hinders
- Lauren Britten Hodges
- Ian Holacka
- Kourtney Lane Horwood
- Jill Howard
- JBK Eye Care LLP
- Lauren Jerige
- Samantha Lee Jewett
- John P Dzik DO PA
- Julia Christine Johnson
All providers in Canyon, 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 Dec 31, 2015. 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.