Family Medicine At Willow Bend - Medicare Primary Care in Plano, TX

Family Medicine At Willow Bend is a medicare enrolled primary clinic (Clinic/center) in Plano, Texas. The current practice location for Family Medicine At Willow Bend is 5944 W Parker Rd, Suite 100, Plano, Texas. For appointments, you can reach them via phone at (972) 608-1868. The mailing address for Family Medicine At Willow Bend is 5944 W Parker Rd, Plano, Texas and phone number is (972) 608-1868.

Family Medicine At Willow Bend is licensed to practice in Texas (license number H6350). The clinic also participates in the medicare program and its NPI number is 1003800434. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (972) 608-1868.

Contact Information

Family Medicine At Willow Bend
5944 W Parker Rd
Suite 100
Plano
TX 75093-6421
(972) 608-1868
(972) 943-8644

Primary Care Clinic Profile

Full NameFamily Medicine At Willow Bend
SpecialityClinic/Center
Location5944 W Parker Rd, Plano, Texas
Authorized Official Name and PositionJeffrey Craig Komenda (MEDICAL DOCTOR)
Authorized Official Contact9726081868
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Family Medicine At Willow Bend
5944 W Parker Rd
Plano
TX 75093-6422

Ph: (972) 608-1868
Family Medicine At Willow Bend
5944 W Parker Rd
Suite 100
Plano
TX 75093-6421

Ph: (972) 608-1868

NPI Details:

NPI Number1003800434
Provider Enumeration Date08/31/2005
Last Update Date02/28/2012

Medicare PECOS Information:

Medicare PECOS PAC ID4880664465
Medicare Enrollment IDO20040729001584

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Medical Identifiers

Medical identifiers for Family Medicine At Willow Bend such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003800434NPI-NPPES
124934405MedicaidTX
165802302MedicaidTX
10018514OtherTXAMERIGROUP
165802301MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center H6350 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Family Medicine At Willow Bend acts as a billing entity for following providers:
Provider NameJeffrey Craig Komenda
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396934865
PECOS PAC ID: 1153391735
Enrollment ID: I20040802001183

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