| Janice L Pruessner, MD | |
|
102 E Young St, Llano, TX 78643-1349 | |
| (325) 247-4131 | |
| (325) 248-2099 |
| Full Name | Janice L Pruessner |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 102 E Young St, Llano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720062755 | NPI | - | NPPES |
| 121847102 | Other | TX | FIRSTCARE |
| 138603914 | Medicaid | TX | |
| 83769 | Other | TX | SCOTT & WHITE |
| 83020K | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H1402 (Texas) | Primary |
| Entity Name | Austin Regional Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Janice L Pruessner, MD 200 W Ollie St, Llano, TX 78643-2628 Ph: (325) 247-5040 | Janice L Pruessner, MD 102 E Young St, Llano, TX 78643-1349 Ph: (325) 247-4131 |
Ms. Geri Leann Elizabeth Langham, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 102 E Young St, Llano, TX 78643 Phone: 325-248-2000 | |
Randall J Grimshaw, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 W Ollie St, Llano, TX 78643 Phone: 325-247-5040 Fax: 325-247-2801 | |
Jack P Franklin, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 906 Ford St, Llano, TX 78643 Phone: 325-248-6309 Fax: 325-248-6307 | |
Sonja Louise Forrister, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Young St, Llano, TX 78643 Phone: 325-247-4131 Fax: 325-248-2099 | |
Skylar S Forrister, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Young St, Llano, TX 78643 Phone: 325-247-4131 | |
Dan David Hoerster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Young St, Llano, TX 78643 Phone: 325-247-4131 Fax: 325-248-2099 | |
William Christman Ratliff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 E Young St, Llano, TX 78643 Phone: 325-247-4131 |