Virginia Marie Missildine, FNP | |
1102 Main Street, Texarkana, TX 75501 | |
(903) 792-5924 | |
(903) 792-8224 |
Full Name | Virginia Marie Missildine |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1102 Main Street, Texarkana, Texas |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982069316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP129782 (Texas) | Primary |
363LF0000X | Nurse Practitioner - Family | A005417 (Arkansas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Home Health Of East Texas | Longview, TX | Home health agency |
Christus St Michael Health System | Texarkana, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Medical Group Of Texarkana | 3870485626 | 14 |
Pallicare, Inc | 8123429925 | 28 |
Pallicare, Inc | 8123429925 | 28 |
Entity Name | Family Medical Group Of Texarkana |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831233766 PECOS PAC ID: 3870485626 Enrollment ID: O20040326000325 |
Entity Name | Pallicare, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316511884 PECOS PAC ID: 8123429925 Enrollment ID: O20210630003632 |
Entity Name | Renewed Health Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205408564 PECOS PAC ID: 2769886050 Enrollment ID: O20210820000934 |
Mailing Address | Practice Location Address |
---|---|
Virginia Marie Missildine, FNP Po Box 2709, Longview, TX 75606 Ph: (903) 792-5924 | Virginia Marie Missildine, FNP 1102 Main Street, Texarkana, TX 75501 Ph: (903) 792-5924 |
Sally A Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Rd, Texarkana, TX 75503 Phone: 903-791-9355 Fax: 903-831-7273 | |
Virginia Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Ms. Marla Kay English-pickett, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16060 Broadleaf, Texarkana, TX 75503 Phone: 903-838-0031 | |
Laura L Jackson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Caleb Cain, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 | |
Ms. Michelle Cheri Craft, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 Moores Ln, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 833-491-2722 | |
Jamie G Dodd, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 |