Ms Micaela Mercado, | |
602 Indiana Ave, Lubbock, TX 79415-3364 | |
(806) 775-8200 | |
Not Available |
Full Name | Ms Micaela Mercado |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 602 Indiana Ave, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952175135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 958354 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1150307 (Texas) | Primary |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Mailing Address | Practice Location Address |
---|---|
Ms Micaela Mercado, 6515 70th St, Lubbock, TX 79424-1946 Ph: (806) 787-3273 | Ms Micaela Mercado, 602 Indiana Ave, Lubbock, TX 79415-3364 Ph: (806) 775-8200 |
Kayleigh Mccarrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 | |
Mr. Nzonguti Ekangaki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Ste 1b350s, Lubbock, TX 79430 Phone: 806-743-6639 | |
Mrs. Mayme Alicia Matthews, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Texas Tech University Health Sciences Ctr, 3601 4th Street, Ms 8182, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2982 | |
Mr. Joshua Kain Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5602 Geneva Ave, Lubbock, TX 79413 Phone: 432-349-0935 | |
Anthony Raymond Fuller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8200 | |
Mrs. Sarah L Daftarian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984 | |
Joshua Alan Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Ste. 1b350k, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984 |