| Diana L Kelly, PMHNP-BC | |
|
1636 Hunters Glen Rd, San Angelo, TX 76901-5008 | |
| (325) 949-5722 | |
| Not Available |
| Full Name | Diana L Kelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1636 Hunters Glen Rd, San Angelo, 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 |
|---|---|---|---|
| 1164193868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1033066 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Senior Psychcare Of Dallas I Pllc | 2466625371 | 25 |
| Entity Name | River Crest Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518937218 PECOS PAC ID: 5890726921 Enrollment ID: O20101013001171 |
| Entity Name | Senior Psychcare Of Dallas I Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942596903 PECOS PAC ID: 2466625371 Enrollment ID: O20111109000103 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana L Kelly, PMHNP-BC 1636 Hunters Glen Rd, San Angelo, TX 76901-5016 Ph: (325) 949-5722 | Diana L Kelly, PMHNP-BC 1636 Hunters Glen Rd, San Angelo, TX 76901-5008 Ph: (325) 949-5722 |
Maegin M Carlile, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165 | |
Ijeoma Unini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722 | |
Tammie L Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165 | |
Mrs. Tina Faye Luck, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 Phone: 325-658-6524 Fax: 325-658-8895 | |
Kate Elizabeth Young, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-747-2104 | |
Kristen Renee Owen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4251 Sunset Dr, San Angelo, TX 76904 Phone: 325-481-2226 | |
Mrs. Roxanne Elkins Timm, WHCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E. Harris, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 |