| Pegasus Schools, Inc | |
|
896 Robin Ranch Rd Lockhart TX 78644-4578 | |
| (512) 376-2101 | |
| Not Available |
| Full Name | Pegasus Schools, Inc |
|---|---|
| Speciality | Counselor |
| Location | 896 Robin Ranch Rd, Lockhart, Texas |
| Authorized Official Name and Position | Roberta Smith (BILLING SPECIALIST) |
| Authorized Official Contact | 5124321602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pegasus Schools, Inc Po Box 577 Lockhart TX 78644-0577 Ph: (512) 376-2101 | Pegasus Schools, Inc 896 Robin Ranch Rd Lockhart TX 78644-4578 Ph: (512) 376-2101 |
| NPI Number | 1316091200 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/07/2020 |
| Certification Date | 08/07/2020 |
| Medicare PECOS PAC ID | 4981784832 |
|---|---|
| Medicare Enrollment ID | O20080103000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316091200 | NPI | - | NPPES |
| 145026401 | Medicaid | TX |
| Provider Name | Ziba Rezaee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902066236 PECOS PAC ID: 5092983908 Enrollment ID: I20110720000553 |
| Provider Name | Elizabeth Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326517111 PECOS PAC ID: 4082953682 Enrollment ID: I20190226001520 |
| Provider Name | Therese Werner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154966307 PECOS PAC ID: 1254765118 Enrollment ID: I20191231000494 |
| Provider Name | Tonya Shankle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639535149 PECOS PAC ID: 9234364001 Enrollment ID: I20200819001157 |
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