William Alex Nicodemus, FNP-C | |
2900 S Loop 256, Palestine, TX 75801-6958 | |
(903) 731-1134 | |
Not Available |
Full Name | William Alex Nicodemus |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2900 S Loop 256, Palestine, 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 |
---|---|---|---|
1427565068 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP135915 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Qv Urgent Care Tx Pllc | 5395176267 | 33 |
Entity Name | Senior Psychcare Of Dallas I Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942596903 PECOS PAC ID: 2466625371 Enrollment ID: O20111109000103 |
Entity Name | Qv Urgent Care Tx Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568098887 PECOS PAC ID: 5395176267 Enrollment ID: O20200508000781 |
Mailing Address | Practice Location Address |
---|---|
William Alex Nicodemus, FNP-C 3120 Van Zant County Road 2318, Canton, TX 75103 Ph: (903) 479-3933 | William Alex Nicodemus, FNP-C 2900 S Loop 256, Palestine, TX 75801-6958 Ph: (903) 731-1134 |
Mrs. Melissa Marie Cobb, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3201 S Loop 256, Palestine, TX 75801 Phone: 903-723-0600 | |
Natalie Karen Burks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Willow Creek Pkwy, Suite C, Palestine, TX 75801 Phone: 903-723-8210 Fax: 903-723-8310 | |
Tania Shinohara, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4002 S Loop 256, Palestine, TX 75801 Phone: 903-731-5030 Fax: 903-731-5037 | |
Travis Lee Wacha, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4659 Fm 1990, Palestine, TX 75801 Phone: 903-213-2216 Fax: 903-213-9233 | |
Kimberly Winn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1021 Fax: 903-731-1265 | |
Tiffany Linn Mcclendon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1000 | |
Elizabeth George, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-724-9922 |