| Acara Home Medical Associates, Pllc | |
|
704 Putter Ct College Station TX 77845-8997 | |
| (979) 820-0784 | |
| Not Available |
| Full Name | Acara Home Medical Associates, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 704 Putter Ct, College Station, Texas |
| Authorized Official Name and Position | Stacey Rowse (CEO) |
| Authorized Official Contact | 9798200784 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acara Home Medical Associates, Pllc 704 Putter Ct College Station TX 77845-8997 Ph: (979) 820-0784 | Acara Home Medical Associates, Pllc 704 Putter Ct College Station TX 77845-8997 Ph: (979) 820-0784 |
| NPI Number | 1023856606 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Certification Date | 06/21/2024 |
| Medicare PECOS PAC ID | 6608307277 |
|---|---|
| Medicare Enrollment ID | O20241007002755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023856606 | NPI | - | NPPES |
| Provider Name | Don R Bosse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326016791 PECOS PAC ID: 3870556335 Enrollment ID: I20041106000023 |
| Provider Name | Jacqueline P Burnette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149661 PECOS PAC ID: 7911159603 Enrollment ID: I20121203000364 |
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