Provider Demographics
NPI:1124677554
Name:P-CG LLC DBA PINEYWOODS MEDICAL BILLING
Entity type:Organization
Organization Name:P-CG LLC DBA PINEYWOODS MEDICAL BILLING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-633-7583
Mailing Address - Street 1:415 S 1ST ST STE 300
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75901-3800
Mailing Address - Country:US
Mailing Address - Phone:936-633-7583
Mailing Address - Fax:832-539-1633
Practice Address - Street 1:415 S 1ST ST STE 300
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75901-3800
Practice Address - Country:US
Practice Address - Phone:936-633-7583
Practice Address - Fax:832-539-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-09
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health