Alyssa Cepeda Young, PNP | |
277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 | |
(361) 777-3900 | |
Not Available |
Full Name | Alyssa Cepeda Young |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 277 Buddy Ganem Dr Ste A, Portland, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780257220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 1047925 (Texas) | Primary |
Entity Name | Children's Physician Services Of South Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
Mailing Address | Practice Location Address |
---|---|
Alyssa Cepeda Young, PNP 277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 Ph: (361) 777-3900 | Alyssa Cepeda Young, PNP 277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 Ph: (361) 777-3900 |
Mrs. Samantha Jo Wright, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 616 Elm St, Portland, TX 78374 Phone: 361-977-2059 Fax: 361-977-2047 | |
Amber Leia Waggoner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137 | |
Marka Jane Dredla, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 277 Buddy Ganem Dr Ste A, Portland, TX 78374 Phone: 361-777-3900 Fax: 361-413-0274 | |
Matthew Kern, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 125 Northshore Blvd, Portland, TX 78374 Phone: 361-480-0334 | |
Mrs. Gloria Perales Solis, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Wildcat Dr Ste C, Portland, TX 78374 Phone: 361-643-9800 Fax: 361-643-5112 | |
Kerrie Hogin Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 | |
Karen Laskowski, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 277 Buddy Ganem Dr, Portland, TX 78374 Phone: 361-777-3900 |