| Rachel Spencer Ivanov, MSN, APRN, PMHNP | |
|
705 Landa St Ste C, New Braunfels, TX 78130-6163 | |
| (210) 360-1590 | |
| (210) 855-9300 |
| Full Name | Rachel Spencer Ivanov |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 705 Landa St Ste C, New Braunfels, 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 |
|---|---|---|---|
| 1053916379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 902941 (Texas) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1030787 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Regional Medical Center | Lewiston, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Clinical Services Inc | 0042101099 | 33 |
| St Marys Regional Medical Center | 0042107120 | 186 |
| Entity Name | St Marys Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447226584 PECOS PAC ID: 0042107120 Enrollment ID: O20040303000236 |
| Entity Name | Community Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477568 PECOS PAC ID: 0042101099 Enrollment ID: O20040513000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Spencer Ivanov, MSN, APRN, PMHNP 4004 Halfway Cv, Round Rock, TX 78681-1005 Ph: (512) 591-6841 | Rachel Spencer Ivanov, MSN, APRN, PMHNP 705 Landa St Ste C, New Braunfels, TX 78130-6163 Ph: (210) 360-1590 |
Mrs. Paula Josephine Worley, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 66 Gruene Park Dr Ste 205, New Braunfels, TX 78130 Phone: 830-743-9192 Fax: 830-743-9193 | |
Joni Maxwell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 246 Posey Pass, New Braunfels, TX 78132 Phone: 615-306-6845 | |
David Jones, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 598 N Union Ave, Ste 335, New Braunfels, TX 78130 Phone: 830-643-6205 Fax: 830-643-6204 | |
Sherry Petrosky, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1619 E Common St, New Braunfels, TX 78130 Phone: 830-620-0330 | |
Tiffany A Peteete, AGACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 N Union Ave, New Braunfels, TX 78130 Phone: 830-708-0113 | |
Deborah Lynne Burley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Landa, Suite C, New Braunfels, TX 78130 Phone: 830-629-3614 Fax: 830-629-2438 | |
Diana Joye Smith, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 43 Yu Dr Ste 2, New Braunfels, TX 78130 Phone: 830-620-0330 |