| Medical Sleep Solutions, Pllc | |
|
1001 Robbie Mince Way Desoto TX 75115-2012 | |
| (972) 709-7190 | |
| (972) 780-4796 |
| Full Name | Medical Sleep Solutions, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1001 Robbie Mince Way, Desoto, Texas |
| Authorized Official Name and Position | Brigid Byrne (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2149471837 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Sleep Solutions, Pllc Po Box 674015 Dallas TX 75267-4015 Ph: (972) 709-7190 | Medical Sleep Solutions, Pllc 1001 Robbie Mince Way Desoto TX 75115-2012 Ph: (972) 709-7190 |
| NPI Number | 1841448768 |
|---|---|
| Provider Enumeration Date | 09/04/2008 |
| Last Update Date | 02/13/2012 |
| Medicare PECOS PAC ID | 1658428586 |
|---|---|
| Medicare Enrollment ID | O20090413000179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841448768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
| Provider Name | Jack D Gardner |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851383152 PECOS PAC ID: 8628125556 Enrollment ID: I20090413000210 |
| Provider Name | Edwin H Charnock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790777076 PECOS PAC ID: 5991852824 Enrollment ID: I20090413000226 |
| Provider Name | Kim Patricia Mihelich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912997958 PECOS PAC ID: 2668698341 Enrollment ID: I20140801001937 |
| Provider Name | Johnatan Paul Mariano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588053409 PECOS PAC ID: 7214956630 Enrollment ID: I20160511001971 |
| Provider Name | Chrystal Keys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497294425 PECOS PAC ID: 2365726411 Enrollment ID: I20170309000225 |
| Provider Name | Oluwadamilola Susan Ajiboye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922367937 PECOS PAC ID: 9537458690 Enrollment ID: I20170919000437 |
| Provider Name | Carmen Dunbar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144986951 PECOS PAC ID: 9638554595 Enrollment ID: I20220914001315 |
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