| Texas Panhandle Mhmr | |
|
901 Wallace Blvd Building 501 Amarillo TX 79106-1705 | |
| (806) 351-3200 | |
| (806) 351-3344 |
| Full Name | Texas Panhandle Mhmr |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 901 Wallace Blvd, Amarillo, Texas |
| Authorized Official Name and Position | Mellisa Talley (EXECUTVE DIRECTOR) |
| Authorized Official Contact | 8063513206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Panhandle Mhmr 901 Wallace Blvd Building 501 Amarillo TX 79106-1705 Ph: (806) 351-3200 | Texas Panhandle Mhmr 901 Wallace Blvd Building 501 Amarillo TX 79106-1705 Ph: (806) 351-3200 |
| NPI Number | 1134188139 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 07/21/2022 |
| Certification Date | 02/05/2020 |
| Medicare PECOS PAC ID | 0446200067 |
|---|---|
| Medicare Enrollment ID | O20050131000802 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134188139 | NPI | - | NPPES |
| 127378105 | Medicaid | TX |
| Provider Name | Murali Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851374367 PECOS PAC ID: 8729041777 Enrollment ID: I20041110000497 |
| Provider Name | Alejandro V Natividad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467436014 PECOS PAC ID: 7517916299 Enrollment ID: I20050120000189 |
| Provider Name | Stacia W Lusby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508960832 PECOS PAC ID: 3971605825 Enrollment ID: I20070222000617 |
| Provider Name | Michael D Jenkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912900028 PECOS PAC ID: 1254404791 Enrollment ID: I20080717000142 |
| Provider Name | Barbara M Nefstead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568700409 PECOS PAC ID: 4082851613 Enrollment ID: I20130518000115 |
| Provider Name | Laura V Settlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750726345 PECOS PAC ID: 5496999534 Enrollment ID: I20130911000688 |
| Provider Name | Raigina L Preston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396172631 PECOS PAC ID: 2567635063 Enrollment ID: I20140326001092 |
| Provider Name | Orlinda Mapa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528504412 PECOS PAC ID: 2567748817 Enrollment ID: I20170420002619 |
| Provider Name | Larry Dale Hisel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245760222 PECOS PAC ID: 8820369564 Enrollment ID: I20170731000203 |
| Provider Name | Kimberly Gwen Mettetal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194911453 PECOS PAC ID: 7315925708 Enrollment ID: I20180328002127 |
| Provider Name | Donald R Morris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962851683 PECOS PAC ID: 8123352283 Enrollment ID: I20190624000545 |
| Provider Name | George Mburu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811549421 PECOS PAC ID: 7214363357 Enrollment ID: I20200207001486 |
| Provider Name | Jennifer Bledsoe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962003301 PECOS PAC ID: 0648646224 Enrollment ID: I20221024000438 |
| Provider Name | Matthew Carl Aaron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841910544 PECOS PAC ID: 7517338445 Enrollment ID: I20230131003451 |
| Provider Name | Chad Beavers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154360949 PECOS PAC ID: 2466802095 Enrollment ID: I20231222001626 |
| Provider Name | Sarah Marie Thrasher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811605736 PECOS PAC ID: 7012360126 Enrollment ID: I20240125000156 |
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