A&M Medical Supply, LLC
Organization Active NPI Durable Medical Equipment & Medical Supplies · Richardson, TX
NPI 1992069942 · NPPES record last updated Jan 16, 2018
Key facts
- NPI
- 1992069942
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 1000732 (TX)
- Legal business name
- A&M MEDICAL SUPPLY, LLC
- Practice address
- 567 Sterling Dr
Richardson, TX 75081-2827 - Phone
- (972) 677-7280
- NPI assigned
- Jun 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Jesusa Almira Jamotillo
- Title
- Ceo
- Phone
- (972) 677-7280
Corporate family (same tax ID) 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| A&M Medical Supply LLC |
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Hospital Beds (Electric)|Hospital Beds (Manual)|External Infusion Pumps and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crut… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130311000379 | TX | DME Supplier - Medical Supply Company |
9830344225 | Practice locations: Richardson, TX |
National Provider Directory
- Tax ID family
- Am Medical Supply LLC
Locations
567 Sterling Dr
Richardson, TX 75081
Phone (972) 677-7280
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 1000732 | TX | Yes |
Addresses
Primary practice location
567 Sterling Dr
Richardson, TX 75081-2827
Mailing address
567 Sterling Dr
Richardson, TX 75081-2827
Phone (972) 677-7280
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992069942 | Medicaid | TX |
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All providers in Richardson, TX · Durable Medical Equipment & Medical Supplies in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 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.
- 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.