Song Phuong Diep Le, ARNP, FNP-C | |
4545 Heritage Trace Pkwy Ste 1500, Fort Worth, TX 76244-8938 | |
(682) 683-2301 | |
Not Available |
Full Name | Song Phuong Diep Le |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 4545 Heritage Trace Pkwy Ste 1500, Fort Worth, 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 |
---|---|---|---|
1952636136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11006612 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1079265 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Health Arlington Memorial Hospital | Arlington, TX | Hospital |
Texas Health Harris Methodist Hospital Stephenvill | Stephenville, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rrr Hyperbarics 5 Llc | 5496018848 | 4 |
Rrr Hyperbarics 3 Llc | 7113288101 | 6 |
Entity Name | Rrr Hyperbarics 3 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871041913 PECOS PAC ID: 7113288101 Enrollment ID: O20180308001587 |
Entity Name | Rrr Hyperbarics 1 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407278286 PECOS PAC ID: 4082975982 Enrollment ID: O20180308002199 |
Entity Name | Rrr Hyperbarics 4 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205367455 PECOS PAC ID: 9537421482 Enrollment ID: O20180313001401 |
Entity Name | Rrr Hyperbarics 5 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659887248 PECOS PAC ID: 5496018848 Enrollment ID: O20180417001548 |
Entity Name | Rrr Hyperbarics 8, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720739048 PECOS PAC ID: 1658767892 Enrollment ID: O20220415000102 |
Mailing Address | Practice Location Address |
---|---|
Song Phuong Diep Le, ARNP, FNP-C 4722 Raspberry Spar Ct, Arlington, TX 76005-1210 Ph: (713) 876-3993 | Song Phuong Diep Le, ARNP, FNP-C 4545 Heritage Trace Pkwy Ste 1500, Fort Worth, TX 76244-8938 Ph: (682) 683-2301 |
Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287 | |
Valerie Elise Ward, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2755 Miller Ave, Fort Worth, TX 76105 Phone: 817-534-7110 Fax: 817-413-0521 | |
Maria Sybil Gagliano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 866-389-2727 | |
Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805 | |
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070 | |
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014 |