| Meditelecare Of Texas Pllc | |
|
1999 Bryan St Ste 900 Dallas TX 75201-3140 | |
| (860) 788-6404 | |
| (860) 829-0495 |
| Full Name | Meditelecare Of Texas Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1999 Bryan St Ste 900, Dallas, Texas |
| Authorized Official Name and Position | Andrea Godfrey (CREDENTIALING & ENROLLMENT MANAGER) |
| Authorized Official Contact | 8607886404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meditelecare Of Texas Pllc Po Box 1595 Middletown CT 06457-8095 Ph: (860) 788-6404 | Meditelecare Of Texas Pllc 1999 Bryan St Ste 900 Dallas TX 75201-3140 Ph: (860) 788-6404 |
| NPI Number | 1942702238 |
|---|---|
| Provider Enumeration Date | 03/02/2018 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Medicare PECOS PAC ID | 8325300346 |
|---|---|
| Medicare Enrollment ID | O20180402001476 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942702238 | NPI | - | NPPES |
| Provider Name | Laura Sue Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689615197 PECOS PAC ID: 3779509104 Enrollment ID: I20051014000816 |
| Provider Name | Holly Beth Kozee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467783159 PECOS PAC ID: 5496902603 Enrollment ID: I20120823000249 |
| Provider Name | Tundike J Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346681020 PECOS PAC ID: 1456585751 Enrollment ID: I20130927000220 |
| Provider Name | Latifat Amadin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336579556 PECOS PAC ID: 7719117167 Enrollment ID: I20140304000261 |
| Provider Name | Natalie Bellman-seeskin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629261201 PECOS PAC ID: 3577698133 Enrollment ID: I20160212001124 |
| Provider Name | Omiana Ajibade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598124190 PECOS PAC ID: 4981992740 Enrollment ID: I20161011000497 |
| Provider Name | Sharon B Stegall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447580816 PECOS PAC ID: 9133255300 Enrollment ID: I20161013002099 |
| Provider Name | Brie Elizabeth Alford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447546387 PECOS PAC ID: 5799926739 Enrollment ID: I20170208000040 |
| Provider Name | Kosha Shetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730622739 PECOS PAC ID: 1456635820 Enrollment ID: I20170302001063 |
| Provider Name | Julio Antonio Enriquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689981904 PECOS PAC ID: 5799083374 Enrollment ID: I20190305001982 |
| Provider Name | Cheryl A France |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134144215 PECOS PAC ID: 1557550175 Enrollment ID: I20211103001493 |
| Provider Name | Kimberly Buckner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437825767 PECOS PAC ID: 4486043924 Enrollment ID: I20220324000004 |
| Provider Name | Wilfredo Morges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871007377 PECOS PAC ID: 8729347257 Enrollment ID: I20220418001723 |
| Provider Name | Oluwatobi Faith Adeleke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194472233 PECOS PAC ID: 6406243518 Enrollment ID: I20220420000337 |
| Provider Name | Amy Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851912257 PECOS PAC ID: 0840614657 Enrollment ID: I20220427000614 |
| Provider Name | Ijeoma Uchegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336648625 PECOS PAC ID: 9638550155 Enrollment ID: I20220714003693 |
| Provider Name | Salvi M Alday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871239954 PECOS PAC ID: 2961884721 Enrollment ID: I20220806000072 |
| Provider Name | Lauren Mcmiller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093374498 PECOS PAC ID: 2961737937 Enrollment ID: I20221206001801 |
| Provider Name | Michelle Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164474813 PECOS PAC ID: 2860405412 Enrollment ID: I20230221002941 |
| Provider Name | Chioma Nwokoro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134724982 PECOS PAC ID: 9335514926 Enrollment ID: I20230413000607 |
Metrocare Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 River Bend Dr, Dallas, TX 75247 Phone: 214-743-6159 | |
Lifenet Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9708 Skillman St, Dallas, TX 75243 Phone: 214-221-5433 Fax: 214-932-1977 | |
Eric B. Williams, Md, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12801 N Central Expy Ste 350, Dallas, TX 75243 Phone: 214-702-5336 Fax: 972-773-9843 | |
Bienstar Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13140 Coit Rd Ste 326, Dallas, TX 75240 Phone: 214-682-7842 | |
Howdy Pediatrics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 W Commerce St Ste 608, Dallas, TX 75208 Phone: 214-494-0448 Fax: 210-547-2046 | |
Lucienne Cohen Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4007 Bowser Ave Apt E, Dallas, TX 75219 Phone: 617-823-3007 | |
Developmental Pathways Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Saint Paul St Ste 3100, Dallas, TX 75201 Phone: 214-432-3777 Fax: 800-434-3012 |