| Donna Marie Prokop-fettig, PA-C | |
|
1201 Sam Bass Rd, Round Rock, TX 78681-4137 | |
| (512) 388-1861 | |
| (512) 388-0373 |
| Full Name | Donna Marie Prokop-fettig |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1201 Sam Bass Rd, Round Rock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013153147 | NPI | - | NPPES |
| 2028235-02 | Medicaid | TX | |
| 2028235-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA06103 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Marie Prokop-fettig, PA-C Po Box 268945, Oklahoma City, OK 73126-8945 Ph: (512) 388-1861 | Donna Marie Prokop-fettig, PA-C 1201 Sam Bass Rd, Round Rock, TX 78681-4137 Ph: (512) 388-1861 |
Hirut Nicodimos, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Elizabeth D Bishop, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7200 Wyoming Spgs, Ste 300, Round Rock, TX 78681 Phone: 512-244-2273 Fax: 512-244-3179 | |
Jerrad Michael Stoddard, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2410 Round Rock Ave Ste 150, Round Rock, TX 78681 Phone: 512-341-8724 Fax: 512-687-0295 | |
Shelby E Wasil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 Fax: 512-244-2895 | |
Christopher Carl Hanson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16020 Park Valley Dr, Round Rock, TX 78681 Phone: 512-244-0766 | |
Caitlyn Baker, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 Little Oak Way, Round Rock, TX 78681 Phone: 512-255-8868 |