Kaye Puckett, DNP, FNP-BC | |
2202 Us Highway 380 Ste 112, Bridgeport, TX 76426-2177 | |
(940) 683-2338 | |
(940) 683-2394 |
Full Name | Kaye Puckett |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 2202 Us Highway 380 Ste 112, Bridgeport, 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 |
---|---|---|---|
1851046007 | NPI | - | NPPES |
1851046007 | Medicaid | TX | |
8RH312 | Other | TX | BCBS OF TEXAS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 1069872 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Care Home Health | Decatur, TX | Home health agency |
Wise Regional Health System | Decatur, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Independent Physicians Group Inc | 3375819535 | 28 |
Entity Name | Wise Clinical Care Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679719801 PECOS PAC ID: 6204988975 Enrollment ID: O20090710000550 |
Entity Name | Premier Independent Physicians Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437676640 PECOS PAC ID: 3375819535 Enrollment ID: O20171017000485 |
Mailing Address | Practice Location Address |
---|---|
Kaye Puckett, DNP, FNP-BC Po Box 2078, Decatur, TX 76234-6156 Ph: (940) 683-2338 | Kaye Puckett, DNP, FNP-BC 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426-2177 Ph: (940) 683-2338 |
Leisha Monette Blaylock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2202 Us Highway 380, Suite 112, Bridgeport, TX 76426 Phone: 940-683-2338 Fax: 940-683-2394 | |
Whitney Victoria Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2202 Us Highway 380, Suite #112, Bridgeport, TX 76426 Phone: 940-683-2338 Fax: 940-683-2394 | |
Ashley Jendusa, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1306 13th St, Bridgeport, TX 76426 Phone: 940-255-6552 | |
Mr. Alexander Lee Pendergrass, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 Woodrow Wilson Ray Cir, Bridgeport, TX 76426 Phone: 817-966-2960 |