MEDICARE: AMERICARE MEDICAL GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207X00000X	Orthopaedic Surgery Physician
3	364SA2100X	Acute Care Clinical Nurse Specialist
4	207RI0200X	Infectious Disease Physician

General Provider Information

NPI Number	:	1578935953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICARE MEDICAL GROUP, INC.

Provider Business Mailing Address
First Line	:	15800 DOOLEY RD
Second Line	:	SUITE 185
City	:	ADDISON
State	:	TX
Zip	:	75001-4284
Country	:	US
Telephone Number	:	972-661-2273
Fax Number	:	866-292-6489

Provider Business Practice Location Address
First Line	:	15800 DOOLEY RD
Second Line	:	SUITE 185
City	:	ADDISON
State	:	TX
Zip	:	75001-4284
Country	:	US
Telephone Number	:	972-661-2273
Fax Number	:	866-292-6489

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE
Name	:	MR. KELLY ROBERT SWAYDEN
Credential	:
Telephone Number	:	972-661-2273

Provider Enumeration Date	:	10/26/2015
Last Update Date	:	10/26/2015

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