Mrs Mackenzi Eberly, FNP-C | |
1502 12th St Ste A, Shallowater, TX 79363-5651 | |
(806) 832-4566 | |
(806) 832-4143 |
Full Name | Mrs Mackenzi Eberly |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1502 12th St Ste A, Shallowater, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598146433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP128324 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brian Carreon Md Pa | 8628496460 | 3 |
Entity Name | Jack County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790777696 PECOS PAC ID: 5890768675 Enrollment ID: O20040819000032 |
Entity Name | Brian Carreon Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245843051 PECOS PAC ID: 8628496460 Enrollment ID: O20200910003529 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mackenzi Eberly, FNP-C Po Box 2088, Shallowater, TX 79363-2088 Ph: (806) 832-4566 | Mrs Mackenzi Eberly, FNP-C 1502 12th St Ste A, Shallowater, TX 79363-5651 Ph: (806) 832-4566 |
Vanessa Lynn Bolyard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 8th St, Shallowater, TX 79363 Phone: 806-832-4566 Fax: 806-832-4143 | |
Cara Baker, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1502 12th St Ste A, Shallowater, TX 79363 Phone: 806-832-4566 |