| Kumari K Weeratunge, MD | |
|
1401 Andover Ln, Livingston, TX 77351-2685 | |
| (936) 327-8661 | |
| (936) 327-3131 |
| Full Name | Kumari K Weeratunge |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1401 Andover Ln, Livingston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689844243 | NPI | - | NPPES |
| 193150303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | M9087 (Texas) | Secondary |
| 208000000X | Pediatrics | M9087 (Texas) | Primary |
| Entity Name | Legacy Community Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679524961 PECOS PAC ID: 7911969092 Enrollment ID: O20110706000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Kumari K Weeratunge, MD 204 W Park, Livingston, TX 77351-9336 Ph: (936) 327-8661 | Kumari K Weeratunge, MD 1401 Andover Ln, Livingston, TX 77351-2685 Ph: (936) 327-8661 |
Dr. Singaraju Katari, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 604 S Washington Ave, Livingston, TX 77351 Phone: 936-327-8661 Fax: 936-327-3131 | |
Marlo Brawner, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Ogletree Dr, Livingston, TX 77351 Phone: 936-328-8812 Fax: 936-328-8815 | |
Dr. Tracy Lee Gustafson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 151 Rainbow Dr, Apt #5152, Livingston, TX 77399 Phone: 936-933-9593 Fax: 281-715-3202 | |
Dr. Carol L Jacobs, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 400 Ogletree Dr, Livingston, TX 77351 Phone: 936-328-8812 Fax: 936-328-8815 | |
Dr. Karon Young-lightbody, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 309 Hwy 59 South Loop, Livingston, TX 77351 Phone: 936-327-1055 Fax: 281-592-1570 |