| Dr Stefanie Nicole Rust, DO | |
|
2201 West Lampasas Street, Ennis, TX 75119 | |
| (972) 875-0900 | |
| (469) 256-2154 |
| Full Name | Dr Stefanie Nicole Rust |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 2201 West Lampasas Street, Ennis, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154684355 | NPI | - | NPPES |
| 201593001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | Q4269 (Texas) | Secondary |
| 207Q00000X | Family Medicine | E8294 (Arkansas) | Secondary |
| 207P00000X | Emergency Medicine | E8294 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital Jonesboro, Inc. | Jonesboro, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| Northeast Arkansas Clinic Charitable Foundation, Inc. | 2961547526 | 272 |
| Entity Name | Dewitt Hospital & Nursing Home Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972586238 PECOS PAC ID: 2961307616 Enrollment ID: O20040505001357 |
| Entity Name | Southeastern Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050418001201 |
| Entity Name | Arkansas Emergency Staffing Solutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
| Entity Name | Northeast Arkansas Clinic Charitable Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721839 PECOS PAC ID: 2961547526 Enrollment ID: O20100315000190 |
| Entity Name | Ess Hospitalist Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120308000726 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stefanie Nicole Rust, DO 2201 West Lampasas Street, Ennis, TX 75119 Ph: (972) 875-0900 | Dr Stefanie Nicole Rust, DO 2201 West Lampasas Street, Ennis, TX 75119 Ph: (972) 875-0900 |
Dr. Neal A Zeigler, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Dolfie Ln, Suite 101, Ennis, TX 75119 Phone: 972-875-4500 | |
Daphne D Fullerton, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 803 W Lampasas St, Ennis, TX 75119 Phone: 800-893-9698 |