Danola Desilus Severe, is a
Physician Assistant based in Reno, Texas. Danola Desilus Severe is licensed to practice in Arizona (license number 9904) and her current practice location is
5350 Tates Trl, Reno, Texas. She can be reached at her office (for appointments etc.) via phone at
(917) 941-0529.
NPI number for Danola Desilus Severe is 1215761804 and her current mailing address is 5350 Tates Trl, Reno, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215761804.
Provider's Profile
| Full Name | Danola Desilus Severe |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 5350 Tates Trl, Reno, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215761804
- Provider Enumeration Date: 08/27/2024
- Last Update Date: 08/27/2024
Medical Identifiers
Medical identifiers for Danola Desilus Severe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215761804 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 9904 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Danola Desilus Severe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Danola Desilus Severe,
5350 Tates Trl,
Reno, TX 75462-5903
Ph: () - | Danola Desilus Severe,
5350 Tates Trl,
Reno, TX 75462-5903
Ph: (917) 941-0529 |
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