Wiseman Family Practice | |
2500 S Lakeline Blvd Suite 100 Cedar Park TX 78613-2967 | |
(512) 345-8970 | |
(512) 345-6689 |
Full Name | Wiseman Family Practice |
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Speciality | Family Medicine |
Location | 2500 S Lakeline Blvd, Cedar Park, Texas |
Authorized Official Name and Position | Laura Copeland (MGR) |
Authorized Official Contact | 5123458970 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wiseman Family Practice 2500 S Lakeline Blvd Suite 100 Cedar Park TX 78613-2967 Ph: (512) 345-8970 | Wiseman Family Practice 2500 S Lakeline Blvd Suite 100 Cedar Park TX 78613-2967 Ph: (512) 345-8970 |
NPI Number | 1598195042 |
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Provider Enumeration Date | 11/20/2013 |
Last Update Date | 11/20/2013 |
Medicare PECOS PAC ID | 9739491564 |
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Medicare Enrollment ID | O20150707002742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598195042 | NPI | - | NPPES |
1114188497 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M9746 (Texas) | Primary |
Provider Name | Richard J Wiseman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497800304 PECOS PAC ID: 9739283227 Enrollment ID: I20070322000122 |
Provider Name | Jeremy D Wiseman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114188497 PECOS PAC ID: 7810180171 Enrollment ID: I20101019000659 |
Provider Name | Rebecca E Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154619344 PECOS PAC ID: 1355512104 Enrollment ID: I20110927000677 |
Provider Name | Elizabeth Ann Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972932051 PECOS PAC ID: 6709014848 Enrollment ID: I20140117000959 |
Provider Name | Kerry A Ramon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801203575 PECOS PAC ID: 6204158132 Enrollment ID: I20141204001028 |
Provider Name | Linda Siebert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578948071 PECOS PAC ID: 0749596617 Enrollment ID: I20150909000485 |
Provider Name | Justine D Elling |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730448085 PECOS PAC ID: 9436452869 Enrollment ID: I20160119002363 |
Provider Name | Jenny R Gates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316355720 PECOS PAC ID: 8022316058 Enrollment ID: I20160407001187 |
Provider Name | Juanita M Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144689969 PECOS PAC ID: 5496051575 Enrollment ID: I20181004001168 |
Provider Name | Audrey L Wand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790275949 PECOS PAC ID: 0244582674 Enrollment ID: I20181011002042 |
Provider Name | Janice Ellen Merideth Mattocks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164997557 PECOS PAC ID: 1850639907 Enrollment ID: I20190214002025 |
Provider Name | Jamie Aileen Garza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558863233 PECOS PAC ID: 9032457098 Enrollment ID: I20190218000517 |
Provider Name | David Ray Knight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891288965 PECOS PAC ID: 7810236619 Enrollment ID: I20190221001959 |
Provider Name | Sherry Kamali Fulmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427512367 PECOS PAC ID: 4688909302 Enrollment ID: I20190717001163 |
Provider Name | Sellma Vllasi-white |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811277056 PECOS PAC ID: 4587993118 Enrollment ID: I20190907000125 |
Provider Name | Gabrielle L Teumer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083125777 PECOS PAC ID: 3375876063 Enrollment ID: I20201113000040 |
Provider Name | Angelique L Bishop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104415454 PECOS PAC ID: 1254746084 Enrollment ID: I20210209000834 |
Provider Name | Kristen Adrianna Bernal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770131369 PECOS PAC ID: 7618376427 Enrollment ID: I20210527002708 |
Provider Name | Stephanie Marian Tabone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376128116 PECOS PAC ID: 2062818826 Enrollment ID: I20210902002809 |
Provider Name | Laura Facchini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437722725 PECOS PAC ID: 0840682662 Enrollment ID: I20220127002087 |
Provider Name | Narine Milter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760063523 PECOS PAC ID: 7113174400 Enrollment ID: I20220302002212 |
Provider Name | Cynthia Fafel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679207435 PECOS PAC ID: 4688056039 Enrollment ID: I20220801002554 |
Provider Name | Mary Lynn Harrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528713765 PECOS PAC ID: 6901281369 Enrollment ID: I20220921001145 |
Provider Name | Jillian Murphy Deaton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720703895 PECOS PAC ID: 9234505777 Enrollment ID: I20221025000578 |
Provider Name | Kimberly Marie Labinsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376150052 PECOS PAC ID: 3577919455 Enrollment ID: I20231030000234 |
Provider Name | Jessica Louise Somerville |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194402362 PECOS PAC ID: 7517314966 Enrollment ID: I20231107002935 |
Provider Name | Emily Francis Lee Parsons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811582885 PECOS PAC ID: 5597112631 Enrollment ID: I20231109003855 |
Cedar Park Covid Test Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1120 Cottonwood Creek Trl Ste 180b, Cedar Park, TX 78613 Phone: 512-737-2662 | |
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Texas Cardiac Arrhythmia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1460 E Whitestone Blvd, Suite 230, Cedar Park, TX 78613 Phone: 512-206-2999 | |
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Lone Star Circle Of Care At Cedar Park Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 Medical Pkwy Bldg B, Ste 311, Cedar Park, TX 78613 Phone: 877-800-5722 | |
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