Marylyn Mitchell, AGACNP-BC | |
2120 Broken Shoe Trl, Temple, TX 76502-0085 | |
(254) 228-6062 | |
Not Available |
Full Name | Marylyn Mitchell |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 2120 Broken Shoe Trl, Temple, 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 |
---|---|---|---|
1730707860 | NPI | - | NPPES |
1000062 | Other | TX | TEXAS NP LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2100X | Nurse Practitioner - Acute Care | 1000062 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Granbury Medical Center | Granbury, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Granbury Hospital-based Professional Services | 3971940966 | 17 |
Entity Name | Apptexashm Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700399078 PECOS PAC ID: 9335406677 Enrollment ID: O20171122000562 |
Entity Name | Lake Granbury Hb Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043992001 PECOS PAC ID: 6204280779 Enrollment ID: O20231003000017 |
Entity Name | Lake Granbury Hospital-based Professional Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689443467 PECOS PAC ID: 3971940966 Enrollment ID: O20240326003607 |
Mailing Address | Practice Location Address |
---|---|
Marylyn Mitchell, AGACNP-BC 2120 Broken Shoe Trl, Temple, TX 76502-0085 Ph: (254) 228-6062 | Marylyn Mitchell, AGACNP-BC 2120 Broken Shoe Trl, Temple, TX 76502-0085 Ph: (254) 228-6062 |
Jason Derek Bradshaw, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S 1st St, Temple, TX 76504 Phone: 254-743-0714 | |
Ms. Misti Liden, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Clinite Grove Blvd Ste 130, Temple, TX 76502 Phone: 254-314-8699 | |
Rodney Duckett, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Melrose Ln, Temple, TX 76502 Phone: 254-598-0240 | |
Kamia Rochelle Scroggins Fasheun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Andrea Patterson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Mrs. Milicent Cherisse Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, 4b Pediatric Gastroenterology Clinic, Temple, TX 76508 Phone: 254-724-2708 | |
Ms. Gina Marie Heiss Harris, RNC, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop, Temple, TX 76502 Phone: 254-724-5437 |