Christina Wade, | |
310 E Hoskins St, New Boston, TX 75570-2727 | |
(903) 628-7877 | |
Not Available |
Full Name | Christina Wade |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 310 E Hoskins St, New Boston, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508336470 | NPI | - | NPPES |
400234701 | Medicaid | TX | |
AP139080 | Other | TX | APRN LICENSE |
27870 | Other | TX | PRESCRIPTIVE AUTHORIZATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | AP139080 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP139080 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus St Michael Health System | Texarkana, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Supracare Family Health Pllc | 4486880283 | 4 |
Entity Name | Supracare Family Health Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801234596 PECOS PAC ID: 4486880283 Enrollment ID: O20131127001064 |
Mailing Address | Practice Location Address |
---|---|
Christina Wade, 310 E Hoskins St, New Boston, TX 75570-2727 Ph: (903) 628-7877 | Christina Wade, 310 E Hoskins St, New Boston, TX 75570-2727 Ph: (903) 628-7877 |
Mrs. Letha H Colquitt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 James Bowie Dr, New Boston, TX 75570 Phone: 903-614-5950 | |
Paul A Smith, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 128 N Ellis St, New Boston, TX 75570 Phone: 903-628-1104 Fax: 903-628-0104 | |
Mary Dutchover, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 James Bowie Dr, New Boston, TX 75570 Phone: 903-614-5950 Fax: 903-614-5950 | |
Dr. Deborah S Flournoy, PHD, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 304 W Us Highway 82, New Boston, TX 75570 Phone: 903-628-0041 Fax: 903-628-0043 | |
Mary P Stanley, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 910 James Bowie Dr, New Boston, TX 75570 Phone: 903-614-5950 Fax: 903-614-5955 | |
Dr. Trey W Pirkey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 E Hoskins St, New Boston, TX 75570 Phone: 903-628-7877 Fax: 903-628-7876 |