Access | |
1011 College Ave Jacksonville TX 75766 | |
(903) 589-9000 | |
Not Available |
Full Name | Access |
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Speciality | Clinic/Center |
Location | 1011 College Ave, Jacksonville, Texas |
Authorized Official Name and Position | Dianna Strom (REIMBURSEMENT COORDINATOR) |
Authorized Official Contact | 9035899000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access 1011 College Ave Jacksonville TX 75766-3307 Ph: (903) 589-9000 | Access 1011 College Ave Jacksonville TX 75766 Ph: (903) 589-9000 |
NPI Number | 1710015201 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 06/12/2024 |
Certification Date | 06/12/2024 |
Medicare PECOS PAC ID | 4284718107 |
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Medicare Enrollment ID | O20080229000537 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710015201 | NPI | - | NPPES |
111411803 | Medicaid | TX | |
00T09Z | Other | TX | BLUE CROSS BLUE SHIELD |
Provider Name | Erick R Lenert |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982716189 PECOS PAC ID: 9032107594 Enrollment ID: I20040504000202 |
Provider Name | Jon A Guidry |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942384276 PECOS PAC ID: 6002887643 Enrollment ID: I20040805001524 |
Provider Name | Lera Susan Kasseroler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821032665 PECOS PAC ID: 8820038730 Enrollment ID: I20050510001144 |
Provider Name | David J Korman |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1942204755 PECOS PAC ID: 9739287541 Enrollment ID: I20070601000233 |
Provider Name | Keith William Caramelli |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1538211941 PECOS PAC ID: 6204973886 Enrollment ID: I20091030000409 |
Provider Name | Ziba Rezaee |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902066236 PECOS PAC ID: 5092983908 Enrollment ID: I20110720000553 |
Provider Name | Shauna S Reid |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1396949533 PECOS PAC ID: 8628241817 Enrollment ID: I20111103000602 |
Provider Name | Meghna Joshi |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851476550 PECOS PAC ID: 1759542186 Enrollment ID: I20120412000072 |
Provider Name | Mikayle A Durant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780961094 PECOS PAC ID: 1052576246 Enrollment ID: I20120714000007 |
Provider Name | Johnes B Monyoncho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427301597 PECOS PAC ID: 4587815048 Enrollment ID: I20121108000620 |
Provider Name | Darice M Rodriguez |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043479892 PECOS PAC ID: 0042453607 Enrollment ID: I20130829000271 |
Provider Name | Victor G Stiebel |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1164423364 PECOS PAC ID: 7719889278 Enrollment ID: I20140811000605 |
Provider Name | Silby J George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518362623 PECOS PAC ID: 5294053914 Enrollment ID: I20150409000662 |
Provider Name | Michael Seifu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154717833 PECOS PAC ID: 6103144308 Enrollment ID: I20150420002011 |
Provider Name | Carrie C Deer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437587060 PECOS PAC ID: 8729216189 Enrollment ID: I20150615002373 |
Provider Name | John D Walsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790169738 PECOS PAC ID: 7810206620 Enrollment ID: I20151019000741 |
Provider Name | Odochi P Onungwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811373673 PECOS PAC ID: 4183790678 Enrollment ID: I20151125000322 |
Provider Name | Anandkumar B Panchal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629453303 PECOS PAC ID: 7810291408 Enrollment ID: I20160202000337 |
Provider Name | Latifat Adelekan-adeogun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689124125 PECOS PAC ID: 6305129644 Enrollment ID: I20170210000462 |
Provider Name | Lauren S Douglas |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1700147923 PECOS PAC ID: 8921375106 Enrollment ID: I20170518000071 |
Provider Name | Alicia A Vasquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861915266 PECOS PAC ID: 0941573588 Enrollment ID: I20170905000037 |
Provider Name | Roxanne Dudley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922244904 PECOS PAC ID: 5092072470 Enrollment ID: I20171121001182 |
Provider Name | Arjun G Karkhanis |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336465806 PECOS PAC ID: 9638476575 Enrollment ID: I20171208000083 |
Provider Name | Mabel N Nwachukwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255822151 PECOS PAC ID: 0941556526 Enrollment ID: I20180712000912 |
Provider Name | April M Monarrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598237091 PECOS PAC ID: 5991044158 Enrollment ID: I20190305002964 |
Provider Name | Kelly A Campbell |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1205240611 PECOS PAC ID: 9739478595 Enrollment ID: I20190828002958 |
Provider Name | Gina M Beckford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407419237 PECOS PAC ID: 6507108248 Enrollment ID: I20200506000112 |
Provider Name | Meshack Samia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760014047 PECOS PAC ID: 4183055239 Enrollment ID: I20200506000440 |
Provider Name | Regina N Jing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669019006 PECOS PAC ID: 1658532643 Enrollment ID: I20200515000874 |
Provider Name | Scott J Tlanda |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1720440431 PECOS PAC ID: 6507283793 Enrollment ID: I20200902002186 |
Provider Name | Lindsey Brooke Sansing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699386516 PECOS PAC ID: 7012316243 Enrollment ID: I20210520001290 |
Provider Name | Kari D Herman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235564246 PECOS PAC ID: 2668600230 Enrollment ID: I20221123001077 |
Provider Name | Lynsie Ann Fisher |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649868589 PECOS PAC ID: 2668823691 Enrollment ID: I20240121000015 |
Provider Name | Emily Gross |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1932707882 PECOS PAC ID: 5890147151 Enrollment ID: I20240123000956 |
Provider Name | Adalid Sis |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1700240272 PECOS PAC ID: 1951751031 Enrollment ID: I20240123001327 |
Provider Name | Dennis Raymond Steelman |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1710540562 PECOS PAC ID: 5294188637 Enrollment ID: I20240201000945 |
Provider Name | Donna Lee Faulkner |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1245710227 PECOS PAC ID: 2668816554 Enrollment ID: I20240219003539 |
Provider Name | Courtney Rodriguez |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1174386023 PECOS PAC ID: 3678919776 Enrollment ID: I20240312001197 |
Provider Name | Iesha Jones |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275062077 PECOS PAC ID: 1658717475 Enrollment ID: I20240314002073 |
Provider Name | Donna K Daigle-thomas |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1104399047 PECOS PAC ID: 5991142028 Enrollment ID: I20240325001113 |
Provider Name | Marie Wynn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861157695 PECOS PAC ID: 3173962115 Enrollment ID: I20240423003398 |
C.r.p.s. Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Commerce St, Jacksonville, TX 75766 Phone: 903-586-1428 Fax: 903-586-0929 | |
Trinity Counseling Associates Of East Texas, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 S Main St, Jacksonville, TX 75766 Phone: 903-586-6736 Fax: 903-586-2412 | |
Faith Community Disease Prevention And Health Promotion Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 Neches Street, Jacksonville, TX 75766 Phone: 430-244-9250 | |
Access Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5656 N Jackson St, Jacksonville, TX 75766 Phone: 903-589-9000 Fax: 903-586-9200 | |
Aegis Psychological Consulting Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 208 E. Rusk St., Jacksonville, TX 75766 Phone: 903-262-6175 Fax: 903-534-9311 | |
Access Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 College Ave, Jacksonville, TX 75766 Phone: 903-589-9000 Fax: 903-586-9200 | |
Counseling Innovation Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E Commerce St, Jacksonville, TX 75766 Phone: 903-284-1975 |