| West Frisco Health And Wellness | |
|
4280 Main St Ste 200 Frisco TX 75033-3080 | |
| (972) 464-2510 | |
| (214) 705-1379 |
| Full Name | West Frisco Health And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 4280 Main St, Frisco, Texas |
| Authorized Official Name and Position | Rachael Teer (PRACTICE MANAGER) |
| Authorized Official Contact | 9724642510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Frisco Health And Wellness 4280 Main St Ste 200 Frisco TX 75033-3080 Ph: (972) 464-2510 | West Frisco Health And Wellness 4280 Main St Ste 200 Frisco TX 75033-3080 Ph: (972) 464-2510 |
| NPI Number | 1376911545 |
|---|---|
| Provider Enumeration Date | 09/04/2015 |
| Last Update Date | 06/20/2017 |
| Medicare PECOS PAC ID | 3678878477 |
|---|---|
| Medicare Enrollment ID | O20160216001234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376911545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L3756 (Texas) | Secondary |
| 207R00000X | Internal Medicine | N0643 (Texas) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Andrew Minigutti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972536639 PECOS PAC ID: 0042202798 Enrollment ID: I20040401000811 |
| Provider Name | Olivia D Bercier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740489269 PECOS PAC ID: 9335229061 Enrollment ID: I20080107000665 |
| Provider Name | Stephanie M Berg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629047659 PECOS PAC ID: 2668415464 Enrollment ID: I20090112000354 |
| Provider Name | Michelle E Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578583753 PECOS PAC ID: 6901955087 Enrollment ID: I20090520000129 |
| Provider Name | Susan Delzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528391125 PECOS PAC ID: 1557547379 Enrollment ID: I20110512000190 |
| Provider Name | Christelle Leiker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306119987 PECOS PAC ID: 3678712551 Enrollment ID: I20130626000058 |
| Provider Name | Xiaowen Guo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851778963 PECOS PAC ID: 6901126333 Enrollment ID: I20150526001332 |
| Provider Name | Lissy Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871004101 PECOS PAC ID: 6507122785 Enrollment ID: I20171103000007 |
| Provider Name | Veronica A Dilworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275044711 PECOS PAC ID: 8527327121 Enrollment ID: I20180104000977 |
| Provider Name | Sandra K Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710423017 PECOS PAC ID: 5597020602 Enrollment ID: I20180521000242 |
| Provider Name | Nickolas A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275983736 PECOS PAC ID: 6507196961 Enrollment ID: I20190927000051 |
| Provider Name | Hannah Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811598600 PECOS PAC ID: 8426460486 Enrollment ID: I20201215003097 |
| Provider Name | Wendy Bockelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376168831 PECOS PAC ID: 0446664890 Enrollment ID: I20210127001154 |
| Provider Name | Lisa Manoly Morkos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407382153 PECOS PAC ID: 3375959042 Enrollment ID: I20210303002216 |
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