Mr Jason Graham Dexter, NP | |
120 E Harris Ave, San Angelo, TX 76903-5904 | |
(325) 657-5222 | |
Not Available |
Full Name | Mr Jason Graham Dexter |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 120 E Harris Ave, San Angelo, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316196827 | NPI | - | NPPES |
TEMP 696743 | Other | TX | APN LICENSE |
838N77 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 696743 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shannon Medical Center | San angelo, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shannon Clinic | 0840103727 | 411 |
The West Texas Rehabilitation Center | 2860301215 | 336 |
Entity Name | Shannon Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Mailing Address | Practice Location Address |
---|---|
Mr Jason Graham Dexter, NP 1702 Evelyn St, San Angelo, TX 76905-8154 Ph: (325) 651-8148 | Mr Jason Graham Dexter, NP 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 657-5222 |
Maegin M Carlile, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165 | |
Ijeoma Unini, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1636 Hunters Glen Rd, San Angelo, TX 76901 Phone: 325-949-5722 | |
Tammie L Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165 | |
Mrs. Tina Faye Luck, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 Phone: 325-658-6524 Fax: 325-658-8895 | |
Kate Elizabeth Young, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-747-2104 | |
Kristen Renee Owen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4251 Sunset Dr, San Angelo, TX 76904 Phone: 325-481-2226 | |
Mrs. Roxanne Elkins Timm, WHCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E. Harris, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 |