Diana Marie Mikulencak-picha, NP-C | |
1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | |
(830) 672-8502 | |
Not Available |
Full Name | Diana Marie Mikulencak-picha |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1110 N Sarah Dewitt Dr, Gonzales, 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 |
---|---|---|---|
1790283596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 830443 (Texas) | Secondary |
363L00000X | Nurse Practitioner | AP136271 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital | Gonzales, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gonzales Healthcare Systems | 8527963776 | 16 |
Entity Name | Gonzales Healthcare Systems |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013916287 PECOS PAC ID: 8527963776 Enrollment ID: O20040316001074 |
Mailing Address | Practice Location Address |
---|---|
Diana Marie Mikulencak-picha, NP-C 1430 N Avenue B, Shiner, TX 77984-6220 Ph: (361) 401-1344 | Diana Marie Mikulencak-picha, NP-C 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 Ph: (830) 672-8502 |
Ms. Katherine D Paterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 228 Saint George St, Gonzales, TX 78629 Phone: 830-672-6511 | |
Mrs. Patrick Ann Caldwell, WHNP, RNC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 228 Saint George St, Gonzales, TX 78629 Phone: 830-672-6511 Fax: 830-672-6430 | |
Ms. April Nicole Hall, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 228 Saint George St, Gonzales, TX 78629 Phone: 830-672-6511 Fax: 830-672-6430 | |
Ms. Priscilla Layton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 N Sarah Dewitt Dr, Gonzales, TX 78629 Phone: 830-672-2424 | |
Jasmine Bonder, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 N Sarah Dewitt Dr, Gonzales, TX 78629 Phone: 830-672-8502 Fax: 830-672-3035 | |
Valerie Magana Hohenshell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 N College St, Gonzales, TX 78629 Phone: 512-786-8141 | |
Celina D Mccown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 N Sarah Dewitt Dr, Gonzales, TX 78629 Phone: 830-672-8502 Fax: 830-672-3035 |