Mr Robert Ryan Disotell, ANP | |
2604 Saint Michael Dr Ste 340, Texarkana, TX 75503-2378 | |
(903) 614-5117 | |
Not Available |
Full Name | Mr Robert Ryan Disotell |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 2604 Saint Michael Dr Ste 340, Texarkana, 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 |
---|---|---|---|
1265798805 | NPI | - | NPPES |
A03684 | Other | AR | LICENSE |
1994 | Other | TX | TX LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | A03684 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Mother Frances Hospital Sulphur Springs | Sulphur springs, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Care Professionals Llc | 8527200955 | 27 |
Icp Arkansas Aco Billing Llc | 8820497886 | 26 |
Access Telecare Pllc | 7810204831 | 246 |
Entity Name | Integrated Care Professionals Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164762662 PECOS PAC ID: 8527200955 Enrollment ID: O20130814000016 |
Entity Name | Icp Arkansas Aco Billing Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679157838 PECOS PAC ID: 8820497886 Enrollment ID: O20210524001681 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert Ryan Disotell, ANP 202 Quail Ln, Wake Village, TX 75501-5722 Ph: (870) 292-9960 | Mr Robert Ryan Disotell, ANP 2604 Saint Michael Dr Ste 340, Texarkana, TX 75503-2378 Ph: (903) 614-5117 |
Sally A Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Rd, Texarkana, TX 75503 Phone: 903-791-9355 Fax: 903-831-7273 | |
Virginia Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Ms. Marla Kay English-pickett, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16060 Broadleaf, Texarkana, TX 75503 Phone: 903-838-0031 | |
Laura L Jackson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Caleb Cain, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 | |
Ms. Michelle Cheri Craft, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 Moores Ln, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 833-491-2722 | |
Jamie G Dodd, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 |