| Hawkins Psychiatry Pc | |
|
920 W Mitchell St Arlington TX 76013-2560 | |
| (817) 460-7080 | |
| (817) 460-1220 |
| Full Name | Hawkins Psychiatry Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 920 W Mitchell St, Arlington, Texas |
| Authorized Official Name and Position | Germaine B. Hawkins (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6825215700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawkins Psychiatry Pc Po Box 396 Arlington TX 76004-0396 Ph: (817) 460-7080 | Hawkins Psychiatry Pc 920 W Mitchell St Arlington TX 76013-2560 Ph: (817) 460-7080 |
| NPI Number | 1003056607 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/17/2023 |
| Medicare PECOS PAC ID | 5395893804 |
|---|---|
| Medicare Enrollment ID | O20090511000117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003056607 | NPI | - | NPPES |
| 611272 | Other | TX | MEDICARE PTAN INDIVIDUAL |
| 8U1296 | Other | TX | BCBS |
| 10012910 | Other | TX | AMERIGROUP |
| 167802104 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | L3329 (Texas) | Primary |
| Provider Name | Germaine B Hawkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417900887 PECOS PAC ID: 3375512742 Enrollment ID: I20041001000439 |
| Provider Name | Elvis N Ngyia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316245558 PECOS PAC ID: 7012191745 Enrollment ID: I20110405000241 |
| Provider Name | Jacqueline Nickson-young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891835484 PECOS PAC ID: 3476729856 Enrollment ID: I20120106000177 |
| Provider Name | Dominique R Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295019909 PECOS PAC ID: 9133380223 Enrollment ID: I20120417000586 |
| Provider Name | Fantasia M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467891341 PECOS PAC ID: 1850533696 Enrollment ID: I20130807000903 |
| Provider Name | Eunice N Asah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720407984 PECOS PAC ID: 6608090923 Enrollment ID: I20140606000918 |
| Provider Name | Jennifer A Urune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073906038 PECOS PAC ID: 2769701762 Enrollment ID: I20150424000391 |
| Provider Name | Asongtia Ntonghawah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811343338 PECOS PAC ID: 6901198027 Enrollment ID: I20160711002352 |
| Provider Name | Atemnkeng F Dibaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750758512 PECOS PAC ID: 3476836123 Enrollment ID: I20170203001555 |
| Provider Name | Obinna C Okereke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174002349 PECOS PAC ID: 5294977450 Enrollment ID: I20181031001979 |
| Provider Name | Etienne C Poufong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023626959 PECOS PAC ID: 3173923166 Enrollment ID: I20210614000427 |
| Provider Name | Acara Nesbeth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457092389 PECOS PAC ID: 7810379641 Enrollment ID: I20220726003561 |
| Provider Name | Robert Fuschini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023299120 PECOS PAC ID: 0648268961 Enrollment ID: I20230401000074 |
| Provider Name | Cheryl L Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548453566 PECOS PAC ID: 2466827464 Enrollment ID: I20230405000076 |
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