Mr Washington Odhiambo Mitema, FNP | |
1305 Us-377 Hwy, Roanoke, TX 76262 | |
(682) 831-1923 | |
Not Available |
Full Name | Mr Washington Odhiambo Mitema |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1305 Us-377 Hwy, Roanoke, 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 |
---|---|---|---|
1154709798 | NPI | - | NPPES |
724406 | Other | TX | TEXAS BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 724406 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minuteclinic Diagnostic Of Texas Llc | 7416039177 | 272 |
Entity Name | Minuteclinic Diagnostic Of Texas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609076330 PECOS PAC ID: 7416039177 Enrollment ID: O20080204000113 |
Entity Name | Minuteclinic Telehealth Services Of Texas Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922564301 PECOS PAC ID: 8921437427 Enrollment ID: O20200404000028 |
Entity Name | Evernorth Care Providers - Delaware Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033981097 PECOS PAC ID: 6002217973 Enrollment ID: O20240206004349 |
Mailing Address | Practice Location Address |
---|---|
Mr Washington Odhiambo Mitema, FNP 1305 Us-377 Hwy, Roanoke, TX 76262 Ph: (682) 831-1923 | Mr Washington Odhiambo Mitema, FNP 1305 Us-377 Hwy, Roanoke, TX 76262 Ph: (682) 831-1923 |
Kelly Jean Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212 N Highway 377, #119, Roanoke, TX 76262 Phone: 682-831-1591 | |
Maria Isabel Brickner, ARNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3421 Cheyenne Ranch Rd, Roanoke, TX 76262 Phone: 682-390-9956 |