| Id Partners Pa | |
|
350 Matlock Rd Ste 201 Mansfield TX 76063 | |
| (817) 539-9091 | |
| (817) 539-9553 |
| Full Name | Id Partners Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 350 Matlock Rd Ste 201, Mansfield, Texas |
| Authorized Official Name and Position | Devak Desai (OWNER) |
| Authorized Official Contact | 8175399091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Partners Pa 350 Matlock Rd Ste 201 Mansfield TX 76063 Ph: (817) 539-9091 | Id Partners Pa 350 Matlock Rd Ste 201 Mansfield TX 76063 Ph: (817) 539-9091 |
| NPI Number | 1174075857 |
|---|---|
| Provider Enumeration Date | 10/28/2016 |
| Last Update Date | 06/23/2023 |
| Medicare PECOS PAC ID | 0042593121 |
|---|---|
| Medicare Enrollment ID | O20170215002356 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174075857 | NPI | - | NPPES |
| Provider Name | Shantala R Samart |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376720482 PECOS PAC ID: 4688845381 Enrollment ID: I20110928000504 |
| Provider Name | Devak G Desai |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1164677613 PECOS PAC ID: 6406018944 Enrollment ID: I20121026000575 |
| Provider Name | Emily Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770891343 PECOS PAC ID: 1759567076 Enrollment ID: I20150326000145 |
| Provider Name | Kathryn L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891073508 PECOS PAC ID: 3678745361 Enrollment ID: I20160121000377 |
| Provider Name | Dana D Ermis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174989917 PECOS PAC ID: 2062704562 Enrollment ID: I20160701000223 |
| Provider Name | Allyson Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245791425 PECOS PAC ID: 2769724566 Enrollment ID: I20190426001312 |
| Provider Name | Faith Ogechukwu Nwawuba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720642747 PECOS PAC ID: 3173854106 Enrollment ID: I20191007000362 |
| Provider Name | Austin Paul Akers |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1245687672 PECOS PAC ID: 6103107230 Enrollment ID: I20210708003556 |
| Provider Name | Cheryl Lynn Wherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669256178 PECOS PAC ID: 2466816020 Enrollment ID: I20230914002722 |
| Provider Name | Obinna Ikechukwu Abaribe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457704355 PECOS PAC ID: 5799182671 Enrollment ID: I20231026003118 |
| Provider Name | Megan Nicole Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487418471 PECOS PAC ID: 5890131395 Enrollment ID: I20240306003698 |
Elysian Eyecare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1971 Highway 287 N Ste 105, Mansfield, TX 76063 Phone: 817-453-7591 Fax: 817-453-7715 | |
Tmc Mansfield, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1710 Highway 287 N Ste 300, Mansfield, TX 76063 Phone: 972-294-9666 | |
Livingspring Family Medical Center Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3807 E Broad St Ste 101, Mansfield, TX 76063 Phone: 817-717-9597 Fax: 833-992-1938 | |
Mansfield Group Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 E Debbie Ln Ste 1103, Mansfield, TX 76063 Phone: 281-429-8526 | |
Midlothian Primary Care Doctors Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 221 Regency Parkway, Suite 125, Mansfield, TX 76063 Phone: 817-477-5884 | |
Nexphase Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2401 Callender Rd Ste 109, Mansfield, TX 76063 Phone: 817-500-7577 Fax: 817-617-2379 | |
Keith D Rigsby, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4105 Greenwood Way, Mansfield, TX 76063 Phone: 214-334-2190 |