Joan Sybell Petalcorin, MD | |
5615 Deauville Ste 240, Midland, TX 79706-2709 | |
(432) 221-5560 | |
(757) 963-6375 |
Full Name | Joan Sybell Petalcorin |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 28 Years |
Location | 5615 Deauville Ste 240, Midland, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619008141 | NPI | - | NPPES |
2005032249 | Other | MO | MISSOURI TEMP LICENSE |
518857YPVD | Other | TX | TX MEDICARE-PREMIER |
6310 | Other | KS | KANSAS TEMPORARY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 0101246323 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midland Memorial Hospital | Midland, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dora Roberts Rehabilitation Center | 0941285498 | 64 |
Premier Family Care I, Inc | 2567351372 | 60 |
Entity Name | Premier Family Care I, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275522864 PECOS PAC ID: 2567351372 Enrollment ID: O20040311000343 |
Mailing Address | Practice Location Address |
---|---|
Joan Sybell Petalcorin, MD 4214 Andrews Hwy Ste 240, Midland, TX 79703-4817 Ph: (757) 963-6507 | Joan Sybell Petalcorin, MD 5615 Deauville Ste 240, Midland, TX 79706-2709 Ph: (432) 221-5560 |
Cruz Adam Morales, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 900 W Wall St, Midland, TX 79701 Phone: 432-684-5437 | |
Alexandra Gillson, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5200 Briarwood Ave Apt 14303, Midland, TX 79707 Phone: 928-326-5586 | |
Dr. Mark A Fredrickson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1800 Heritage Blvd, Midland, TX 79707 Phone: 432-704-1696 Fax: 432-704-2130 | |
Bailey Alness, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2501 W Illinois Ave, Midland, TX 79701 Phone: 432-203-0200 | |
Varsha Gillala, D.O Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2002 N Midland Dr, Midland, TX 79707 Phone: 432-614-0350 Fax: 915-613-0946 | |
Bruce Welborn, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2501 W Illinois Ave, Midland, TX 79701 Phone: 432-203-0201 |