| Winnsboro Internal Medicine | |
|
209 E Broadway St Winnsboro TX 75494-2604 | |
| (903) 342-3355 | |
| (903) 342-3350 |
| Full Name | Winnsboro Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 209 E Broadway St, Winnsboro, Texas |
| Authorized Official Name and Position | Jared Bradford Petty (PHYSICIAN, AUTHORIZED MEMBER) |
| Authorized Official Contact | 9033423355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winnsboro Internal Medicine 209 E Broadway St Winnsboro TX 75494-2604 Ph: (903) 342-3355 | Winnsboro Internal Medicine 209 E Broadway St Winnsboro TX 75494-2604 Ph: (903) 342-3355 |
| NPI Number | 1154717536 |
|---|---|
| Provider Enumeration Date | 04/12/2015 |
| Last Update Date | 06/26/2015 |
| Medicare PECOS PAC ID | 2668784083 |
|---|---|
| Medicare Enrollment ID | O20150626001660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154717536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M7519 (Texas) | Primary |
| Provider Name | Jose Ricardo Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154358638 PECOS PAC ID: 8921918426 Enrollment ID: I20070705000611 |
| Provider Name | Shelbi D Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437359601 PECOS PAC ID: 9234293275 Enrollment ID: I20090205000479 |
| Provider Name | Jared B Petty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720280753 PECOS PAC ID: 8022162759 Enrollment ID: I20090814000519 |
| Provider Name | Lisa A Currey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952739989 PECOS PAC ID: 2860624350 Enrollment ID: I20140416000421 |
| Provider Name | Lynzie N Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972907160 PECOS PAC ID: 7810204666 Enrollment ID: I20150911000794 |
| Provider Name | Rhonda Kay Tower Siddens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417497520 PECOS PAC ID: 7113294653 Enrollment ID: I20170605000646 |
| Provider Name | Stacy Roberts Mccown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457728735 PECOS PAC ID: 1456631993 Enrollment ID: I20170811001684 |
| Provider Name | Laura Jean Arendt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659879443 PECOS PAC ID: 6103180369 Enrollment ID: I20180516000961 |
| Provider Name | Lacey J Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639654676 PECOS PAC ID: 1254678022 Enrollment ID: I20190201000509 |
| Provider Name | Mandy L Helberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689211880 PECOS PAC ID: 4981039880 Enrollment ID: I20200123001540 |
| Provider Name | Deanna Shelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407465685 PECOS PAC ID: 6800211772 Enrollment ID: I20200810001439 |
| Provider Name | Kathy D Nesselrode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689269748 PECOS PAC ID: 2264735489 Enrollment ID: I20210510000716 |
| Provider Name | Rebecca Couch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043884885 PECOS PAC ID: 4385043033 Enrollment ID: I20210528001537 |
| Provider Name | Vernice Audella Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609546894 PECOS PAC ID: 9335304153 Enrollment ID: I20211021001402 |
| Provider Name | Donna Marie Regino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316698335 PECOS PAC ID: 4880087642 Enrollment ID: I20220131002565 |
| Provider Name | Bryanna Whitehurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144895590 PECOS PAC ID: 4880069616 Enrollment ID: I20230410002009 |
Dr Bart Pruitt Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 W Coke Rd, Mob 2, Winnsboro, TX 75494 Phone: 903-342-9800 Fax: 903-342-9809 | |
Dr. Bart Pruitt, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 719 W Coke Rd, Mob 2, Winnsboro, TX 75494 Phone: 903-342-9800 Fax: 903-342-9809 | |
Mother Frances Hospital-winnsboro Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 719 W Coke Rd, #4, Winnsboro, TX 75494 Phone: 214-345-7260 | |
Directional Wellness Medical Partners Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 N Main St, Winnsboro, TX 75494 Phone: 903-850-9116 Fax: 888-882-1371 | |
Christus Trinity Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 719 W Coke Rd, Bldg 1, Ste 3, Winnsboro, TX 75494 Phone: 903-342-3760 Fax: 903-342-6760 | |
Quitman Hospital Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 600 E Coke Rd, Winnsboro, TX 75494 Phone: 615-296-3594 |