| Stillhouse Emergency Physicians | |
|
3816 S Clear Creek Suite D Killeen TX 76549-4400 | |
| (254) 554-8773 | |
| Not Available |
| Full Name | Stillhouse Emergency Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 3816 S Clear Creek, Killeen, Texas |
| Authorized Official Name and Position | Matthew Sheldon Mitchell (BILLING MANAGER) |
| Authorized Official Contact | 2545265970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillhouse Emergency Physicians Po Box 10308 Killeen TX 76547-0308 Ph: (254) 554-8773 | Stillhouse Emergency Physicians 3816 S Clear Creek Suite D Killeen TX 76549-4400 Ph: (254) 554-8773 |
| NPI Number | 1619060712 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 09/16/2008 |
| Medicare PECOS PAC ID | 1759274905 |
|---|---|
| Medicare Enrollment ID | O20040203000629 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619060712 | NPI | - | NPPES |
| 0026KV | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles W Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285730705 PECOS PAC ID: 1456244607 Enrollment ID: I20040203000671 |
| Provider Name | Stephen Ralph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386726735 PECOS PAC ID: 4082797709 Enrollment ID: I20120418000517 |
| Provider Name | Karen-mae Mitchell |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1508846346 PECOS PAC ID: 4183077738 Enrollment ID: I20240130002885 |
| Provider Name | Dean R Raein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366177248 PECOS PAC ID: 8628413838 Enrollment ID: I20240228000019 |
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