| Dr Ann Louise Nolen, DO | |
|
7600 Highway 29 W, Suite 5, Georgetown, TX 78628-6937 | |
| (512) 930-0363 | |
| (512) 930-0371 |
| Full Name | Dr Ann Louise Nolen |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 7600 Highway 29 W, Georgetown, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144313982 | NPI | - | NPPES |
| P00451852 | Other | TX | PTAN MEDICARE RR |
| 8R9970 | Other | TX | BCBS |
| DG7386 | Other | TX | RAILROAD MEDICARE |
| G1494 | Other | TX | LICENSE |
| 0051MN | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G1494 (Texas) | Primary |
| 207P00000X | Emergency Medicine | G1494 (Texas) | Secondary |
| Entity Name | Health And Human Services Commission |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ann Louise Nolen, DO Po Box 2297, Georgetown, TX 78627-2297 Ph: (512) 930-0363 | Dr Ann Louise Nolen, DO 7600 Highway 29 W, Suite 5, Georgetown, TX 78628-6937 Ph: (512) 930-0363 |
Dr. Suja Maria Sabastin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1507 Rivery Blvd, Georgetown, TX 78628 Phone: 512-509-9550 Fax: 512-509-9555 | |
Kathryn Drake Hart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 603 W University Ave, Georgetown, TX 78626 Phone: 512-509-9550 | |
Dr. Thomas Charles Bohmfalk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3201 S Austin Ave Ste 210, Georgetown, TX 78626 Phone: 513-763-4000 Fax: 512-930-4946 | |
William Robert Umstattd, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3008 Dawn Dr, Suite 201, Georgetown, TX 78628 Phone: 512-863-4596 Fax: 512-863-4676 | |
Mr. Richard C Male Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3721 Williams Dr, Georgetown, TX 78628 Phone: 512-869-7310 Fax: 512-869-5616 | |
Dr. Katherine Marie Vega, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1821 Westinghouse Rd Ste 1190, Georgetown, TX 78626 Phone: 512-348-6399 |