Elizabeth Kaye Petitt, FNP | |
4419 Crenshaw Rd, Pasadena, TX 77504-3628 | |
(281) 991-5944 | |
(281) 991-6129 |
Full Name | Elizabeth Kaye Petitt |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 4419 Crenshaw Rd, Pasadena, 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 |
---|---|---|---|
1104087295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 618556 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP116816 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southeast Dermatology, P.a. | 5193715571 | 11 |
Entity Name | Southeast Dermatology, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811932205 PECOS PAC ID: 5193715571 Enrollment ID: O20040517000995 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Kaye Petitt, FNP 4419 Crenshaw Rd, Pasadena, TX 77504-3628 Ph: (281) 991-5944 | Elizabeth Kaye Petitt, FNP 4419 Crenshaw Rd, Pasadena, TX 77504-3628 Ph: (281) 991-5944 |
Guillermo Marquez Macias Sr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 908 Southmore Ave Ste 100, Pasadena, TX 77502 Phone: 713-554-1091 | |
Daniel Dao, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5763 Fairmont Pkwy, Pasadena, TX 77505 Phone: 346-320-1800 | |
Harold Bryan Lee, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7720 Spencer Hwy, Pasadena, TX 77505 Phone: 281-476-9900 Fax: 281-479-1320 | |
Mr. Mario Alberto Rodriguez Jr., AGACNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4000 Spencer Hwy, Pasadena, TX 77504 Phone: 713-359-2000 | |
Melissa Vanessa Gonzalez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Crenshaw Rd, Suite 120, Pasadena, TX 77505 Phone: 832-448-6098 Fax: 713-944-3141 | |
Delia Xiomara Udave, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4024 Brookhaven Ave, Pasadena, TX 77504 Phone: 713-944-2324 Fax: 713-944-1539 | |
Janney Gonzalez Gutierrez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4450 E Sam Houston Pkwy S Ste H2, Pasadena, TX 77505 Phone: 713-910-7779 |