Rupa Pachigolla Md Psc - Medicare Primary Care in Weatherford, TX

Rupa Pachigolla Md Psc is a medicare enrolled primary clinic (Family Medicine) in Weatherford, Texas. The current practice location for Rupa Pachigolla Md Psc is 2016 Fort Worth Hwy, Weatherford, Texas. For appointments, you can reach them via phone at (817) 596-8637. The mailing address for Rupa Pachigolla Md Psc is 2016 Fort Worth Hwy, Weatherford, Texas and phone number is (817) 596-8637.

Rupa Pachigolla Md Psc is licensed to practice in Texas (license number N0337). The clinic also participates in the medicare program and its NPI number is 1003013350. 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 (817) 596-8637.

Contact Information

Rupa Pachigolla Md Psc
2016 Fort Worth Hwy
Weatherford
TX 76086-4706
(817) 596-8637
(817) 599-3614

Primary Care Clinic Profile

Full NameRupa Pachigolla Md Psc
SpecialityFamily Medicine
Location2016 Fort Worth Hwy, Weatherford, Texas
Authorized Official Name and PositionRupa Pachigolla (PHYSICIAN)
Authorized Official Contact8175968637
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rupa Pachigolla Md Psc
2016 Fort Worth Hwy
Weatherford
TX 76086-4706

Ph: (817) 596-8637
Rupa Pachigolla Md Psc
2016 Fort Worth Hwy
Weatherford
TX 76086-4706

Ph: (817) 596-8637

NPI Details:

NPI Number1003013350
Provider Enumeration Date06/29/2007
Last Update Date04/28/2022

Medicare PECOS Information:

Medicare PECOS PAC ID9335042472
Medicare Enrollment IDO20081121000216

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Medical Identifiers

Medical identifiers for Rupa Pachigolla Md Psc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003013350NPI-NPPES
00Z738OtherTXMEDICARE GROUP PIN
197261401MedicaidTX
45D1093868OtherTXCLIA #
1639165731OtherMCRE INDV NPI #
38179OtherKYLICENSE NUMBER
1003013350MedicaidTX
N0337OtherTXTEXAS LICENSE
197259801OtherTXMEDICAID GRP #
64071715MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine N0337 (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. Rupa Pachigolla Md Psc acts as a billing entity for following providers:
Provider NameRupa Pachigolla
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639165731
PECOS PAC ID: 9133022288
Enrollment ID: I20081126000045

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Family Medicine in Weatherford, TX

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