Kelly Offutt, MD | |
706 Ave G, Marble Falls, TX 78654-5866 | |
(830) 693-8234 | |
(830) 693-9090 |
Full Name | Kelly Offutt |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 706 Ave G, Marble Falls, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154303709 | NPI | - | NPPES |
131964100 | Other | TX | FIRSTCARE |
8F9833 | Other | TX | BCBS |
80803 | Other | TX | SCOTT & WHITE |
155204401 | Medicaid | TX | |
155204402 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L2516 (Texas) | Primary |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Entity Name | Scott & White Hospital - Marble Falls |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295397859 PECOS PAC ID: 6901117175 Enrollment ID: O20190926002132 |
Mailing Address | Practice Location Address |
---|---|
Kelly Offutt, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Kelly Offutt, MD 706 Ave G, Marble Falls, TX 78654-5866 Ph: (830) 693-8234 |
Dr. Kimberly C. Fehlis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 706 Avenue G, Marble Falls, TX 78654 Phone: 830-201-8900 | |
Hailey Wilson, PA-C Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1701 N Us Highway 281, Marble Falls, TX 78654 Phone: 830-798-1122 | |
Dr. Cheryl L Coldwater, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 608 Gateway Central Ste 200, Marble Falls, TX 78654 Phone: 512-553-1740 | |
Dr. Kavita Arvindkumar Gajjar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 802 Avenue J, Marble Falls, TX 78654 Phone: 877-800-5722 Fax: 830-693-2481 | |
Cristin Lee Harper, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 706 Avenue G, Marble Falls, TX 78654 Phone: 830-201-8900 | |
Jeanet Tannous, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1123 Hwy 1431 West, Marble Falls, TX 78654 Phone: 830-693-3988 Fax: 830-693-5691 |