Charmaine Mary Mercado, NP | |
308 S Cesar Chavez Ave, Crystal City, TX 78839-4200 | |
(830) 374-2301 | |
(830) 374-9368 |
Full Name | Charmaine Mary Mercado |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 308 S Cesar Chavez Ave, Crystal City, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710353842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 71007931A (Indiana) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | AP128590 (Texas) | Primary |
Entity Name | Vida Y Salud - Health Systems, Inc. |
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Entity Type | Part A Provider - Federally Qualified Health Center (fqhc) |
Entity Identifiers | NPI Number: 1770511032 PECOS PAC ID: 8820127848 Enrollment ID: O20100528000513 |
Entity Name | Vida Y Salud - Health Systems, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770511032 PECOS PAC ID: 8820127848 Enrollment ID: O20110307000305 |
Mailing Address | Practice Location Address |
---|---|
Charmaine Mary Mercado, NP 308 S Cesar Chavez Ave, Crystal City, TX 78839-4200 Ph: (317) 266-2901 | Charmaine Mary Mercado, NP 308 S Cesar Chavez Ave, Crystal City, TX 78839-4200 Ph: (830) 374-2301 |
Mrs. Rosanna Garcia Caballero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2301 | |
Sarah L. Gibbons, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1313 Veterans Avenue, Suite C, Crystal City, TX 78839 Phone: 830-374-4436 Fax: 830-374-4437 | |
Sara Barker, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1313 Veterans Blvd, Suite A, Crystal City, TX 78834 Phone: 830-374-9823 Fax: 830-374-9858 | |
Roger Dehoyos, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1313 Veterans Ave Ste A, Crystal City, TX 78839 Phone: 830-374-9823 Fax: 830-374-9858 | |
Debra Lee Gonzalez, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 S Avenue C, Crystal City, TX 78839 Phone: 830-374-2952 | |
Mrs. Leticia H Ballesteros, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 308 S Cesar Chavez Ave, Crystal City, TX 78839 Phone: 830-374-2301 Fax: 830-374-9368 |