| Inertia Sports And Family Medicine, Pllc | |
|
115 Kohlers Xing Ste 200 Kyle TX 78640-2461 | |
| (512) 300-0970 | |
| (866) 358-3313 |
| Full Name | Inertia Sports And Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Kohlers Xing Ste 200, Kyle, Texas |
| Authorized Official Name and Position | Alysia Mae Bedgood (MANAGING MEMBER) |
| Authorized Official Contact | 5124131402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inertia Sports And Family Medicine, Pllc 189 Mcgarity Kyle TX 78640-5887 Ph: (512) 413-1402 | Inertia Sports And Family Medicine, Pllc 115 Kohlers Xing Ste 200 Kyle TX 78640-2461 Ph: (512) 300-0970 |
| NPI Number | 1477073617 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 08/13/2019 |
| Medicare PECOS PAC ID | 9931472719 |
|---|---|
| Medicare Enrollment ID | O20170829004013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477073617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N9171 (Texas) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | N9171 (Texas) | Primary |
| Provider Name | Alysia M Bedgood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265660724 PECOS PAC ID: 5496999500 Enrollment ID: I20130911000400 |
| Provider Name | Venessa Navarro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972261741 PECOS PAC ID: 2264827237 Enrollment ID: I20220310001116 |
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