Nicole Rene Marietta, DO | |
1602 Rock Prairie Rd Ste 300, College Station, TX 77845-8309 | |
(979) 693-7400 | |
(979) 695-3423 |
Full Name | Nicole Rene Marietta |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 21 Years |
Location | 1602 Rock Prairie Rd Ste 300, College Station, 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 |
---|---|---|---|
1639189632 | NPI | - | NPPES |
189987501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | M2390 (Texas) | Secondary |
207Q00000X | Family Medicine | M2390 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brazos Valley Community Action Agency, Inc. | 4284542127 | 22 |
Entity Name | Brazos Valley Community Action Agency, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821185299 PECOS PAC ID: 4284542127 Enrollment ID: O20040708001095 |
Mailing Address | Practice Location Address |
---|---|
Nicole Rene Marietta, DO 1500 University Dr E, Suite 100, College Station, TX 77840-2600 Ph: (979) 846-1100 | Nicole Rene Marietta, DO 1602 Rock Prairie Rd Ste 300, College Station, TX 77845-8309 Ph: (979) 693-7400 |
Clayton Thomas Kruger, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1602 Rock Prairie Rd Ste 300, College Station, TX 77845 Phone: 979-693-7400 | |
Dr. Bo Xuan, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: A P Beutel Health Center, Texas A&m University, College Station, TX 77843 Phone: 979-458-8269 Fax: 979-458-8352 | |
Laura Muehr, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E Ste 100, College Station, TX 77840 Phone: 979-691-3300 Fax: 979-691-3527 | |
Dr. Gary Lambert, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd, Ste. 1100, College Station, TX 77845 Phone: 979-693-2586 Fax: 979-693-7327 | |
Dr. Adel A Massoud, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4421 Highway 6 S, College Station, TX 77845 Phone: 979-690-4260 Fax: 979-690-4476 | |
Dr. Mark Stanley Higgins, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 409-691-3300 | |
Dr. Donald Raymond Gehring, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 979-691-3300 |