Mr Wildon Mellinger Rouse Iii, | |
1253 N Von Minden St, La Grange, TX 78945-1262 | |
(979) 968-8493 | |
(979) 968-6388 |
Full Name | Mr Wildon Mellinger Rouse Iii |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Experience | 26 Years |
Location | 1253 N Von Minden St, La Grange, 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 |
---|---|---|---|
1003873845 | NPI | - | NPPES |
MDF1715TX | Other | TX | WORKERS COMPENSATION |
308464202 | Medicaid | TX | |
875N33 | Other | TX | BC/BS # |
P00477542 | Other | TX | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA02598 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Columbus Community Hospital | Columbus, TX | Hospital |
Seton Smithville Regional Hospital | Smithville, TX | Hospital |
Lavaca Medical Center | Hallettsville, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mcbroom Clinic Pa | 5890893119 | 8 |
Mailing Address | Practice Location Address |
---|---|
Mr Wildon Mellinger Rouse Iii, 1253 N Von Minden St, La Grange, TX 78945-1262 Ph: (979) 968-8493 | Mr Wildon Mellinger Rouse Iii, 1253 N Von Minden St, La Grange, TX 78945-1262 Ph: (979) 968-8493 |
Jennifer J Emmel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 | |
Mrs. Hanna Florence Pilat, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 | |
Mrs. Chelsea L Jecmenek, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1253 N Von Minden St, La Grange, TX 78945 Phone: 979-968-8493 Fax: 979-968-6388 |