Minimol Mathew, APRN | |
1718 Highway 287 N Ste 100, Mansfield, TX 76063-9242 | |
(888) 726-5116 | |
Not Available |
Full Name | Minimol Mathew |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1718 Highway 287 N Ste 100, Mansfield, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437743424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 865307 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1033519 (Texas) | Primary |
Entity Name | Centrum Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376219543 PECOS PAC ID: 9234500984 Enrollment ID: O20230117002598 |
Mailing Address | Practice Location Address |
---|---|
Minimol Mathew, APRN 1718 Highway 287 N Ste 100, Mansfield, TX 76063-9242 Ph: (469) 275-0333 | Minimol Mathew, APRN 1718 Highway 287 N Ste 100, Mansfield, TX 76063-9242 Ph: (888) 726-5116 |
Ms. Courtney Miller, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1707 Clover Hill Rd, Mansfield, TX 76063 Phone: 817-456-8798 | |
Mr. Laurence A. Gadbois Jr., FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2303 Lockshire Dr, Mansfield, TX 76063 Phone: 682-225-0319 | |
Mrs. Linda Gail Langston, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2800 E Broad Street Suite 400, Mansfield, TX 76063 Phone: 817-477-9292 | |
Mrs. Renee Rachelle Baril, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 N Miller Rd Ste 300, Mansfield, TX 76063 Phone: 682-341-7510 Fax: 682-341-7511 | |
Mrs. Saaghe Mmbi Fogwe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1475 Heritage Pkwy Ste 225, Mansfield, TX 76063 Phone: 817-453-7522 Fax: 866-665-6659 | |
Oluwatosin B Ajibola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Captains Ct, Mansfield, TX 76063 Phone: 817-239-2205 | |
Mrs. Tanita Breyannen Denae Butler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 Matlock Rd, Mansfield, TX 76063 Phone: 817-453-0267 |