Ida Centineo, RN | |
920 Medical Plaza Dr Ste 520, Shenandoah, TX 77380-3204 | |
(832) 562-3974 | |
(832) 663-9378 |
Full Name | Ida Centineo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 920 Medical Plaza Dr Ste 520, Shenandoah, 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 |
---|---|---|---|
1609410653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ01038600 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Global Wound Care Medical Group | 9335504539 | 199 |
Global Wound Care Medical Group | 9335504539 | 199 |
Global Wound Care Medical Group | 9335504539 | 199 |
Entity Name | Total Care 2 U Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508320755 PECOS PAC ID: 7012344807 Enrollment ID: O20200217000382 |
Entity Name | Global Wound Care Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230513000021 |
Entity Name | American Wound Care Partners |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20240326001683 |
Mailing Address | Practice Location Address |
---|---|
Ida Centineo, RN 920 Medical Plaza Dr Ste 520, Shenandoah, TX 77380-3204 Ph: (832) 562-3974 | Ida Centineo, RN 920 Medical Plaza Dr Ste 520, Shenandoah, TX 77380-3204 Ph: (832) 562-3974 |
Karen Lee Mackenney, RN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 135 Vision Park Blvd, Shenandoah, TX 77384 Phone: 281-404-3000 Fax: 281-290-9824 | |
Mrs. Ronia J Khouri, AGACNP-BC, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9250 Pinecroft Dr, Shenandoah, TX 77380 Phone: 713-897-2300 | |
Mr. Peter Robert Schultz, MSN, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17189 Interstate 45 S Ste 675, Shenandoah, TX 77385 Phone: 936-270-3905 Fax: 936-271-1584 | |
Miss Eliza Beth Codd, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Pine Forest Dr Ste 703, Shenandoah, TX 77384 Phone: 281-939-5915 Fax: 281-982-1808 | |
Summer Renee Shields, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9250 Pinecroft Dr # N2.101, Shenandoah, TX 77380 Phone: 713-897-5539 Fax: 713-897-2275 | |
Maria Ivy Claborn, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Pine Forest Dr Ste 101, Shenandoah, TX 77384 Phone: 832-610-2822 | |
Lindsay Ann Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 Medical Plaza Dr Ste 520, Shenandoah, TX 77380 Phone: 832-562-3974 Fax: 832-562-3974 |