Lisa Edelmon Veggeberg, MD | |
1411 E Amarillo Blvd, Amarillo, TX 79107-5555 | |
(806) 351-7600 | |
(806) 351-7546 |
Full Name | Lisa Edelmon Veggeberg |
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Gender | Female |
Speciality | Pediatrics |
Location | 1411 E Amarillo Blvd, Amarillo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235163247 | NPI | - | NPPES |
132385903 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | H4766 (Texas) | Primary |
Entity Name | Northwest Texas Wyatt Clinic, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780008904 PECOS PAC ID: 8224255997 Enrollment ID: O20140805000346 |
Mailing Address | Practice Location Address |
---|---|
Lisa Edelmon Veggeberg, MD 5012 Us Hwy 75 S, Suite 300, Att: Billing, Denison, TX 75020 Ph: (806) 351-7600 | Lisa Edelmon Veggeberg, MD 1411 E Amarillo Blvd, Amarillo, TX 79107-5555 Ph: (806) 351-7600 |
Mrs. Cynthia Milagros Correa-colon, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 806-355-9703 | |
Dr. Kinsley Ann Stepka, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St Ste 1500, Amarillo, TX 79106 Phone: 806-414-9800 | |
Muhammad Asif Qureshi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-354-5630 Fax: 806-354-5568 | |
Shu Shum, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1801 Halstead St, Amarillo, TX 79106 Phone: 806-358-8526 Fax: 806-358-0179 | |
Robin Elaine Martinez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6305 Sunlake Dr, Amarillo, TX 79124 Phone: 806-352-1020 | |
Jason Nirgiotis, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1400 S Coulter St, Amarillo, TX 79106 Phone: 806-414-9800 Fax: 806-354-5689 | |
Dr. Debbie Pamela Hoving, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1901 Medi Park Dr Ste 200, Amarillo, TX 79106 Phone: 806-468-4350 Fax: 806-468-4351 |