Elizabeth Walterscheid Kennelly, AA | |
2412 50th St, Lubbock, TX 79412-2504 | |
(806) 744-7223 | |
(806) 740-3325 |
Full Name | Elizabeth Walterscheid Kennelly |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 9 Years |
Location | 2412 50th St, Lubbock, 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 |
---|---|---|---|
1548648942 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 2002 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi St Luke's Health Baylor College Of Medicine Me | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baylor College Of Medicine | 8022243971 | 918 |
Entity Name | Baylor College Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth Walterscheid Kennelly, AA 2804 N Loop 289, Lubbock, TX 79415-1410 Ph: (806) 744-7223 | Elizabeth Walterscheid Kennelly, AA 2412 50th St, Lubbock, TX 79412-2504 Ph: (806) 744-7223 |
Cassidy Coltrain, Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 3601 4th St Stop 8182, Lubbock, TX 79430 Phone: 806-743-2981 | |
Steven D Shannon, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7509 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 | |
Ramiro Rodriguez, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8200 | |
Mason Gibson, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 | |
Paula Galloway, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 | |
Jessie Vaughan, A.A. Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7509 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 |