| Susanne Carol Yeagley, MD | |
|
2100 Hedgcoxe Rd Ste 120, Plano, TX 75025-3163 | |
| (972) 769-8443 | |
| (972) 769-2395 |
| Full Name | Susanne Carol Yeagley |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 2100 Hedgcoxe Rd Ste 120, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184686719 | NPI | - | NPPES |
| 102158604 | Medicaid | TX | |
| 8B4288 | Other | TX | BCBS |
| 102158605 | Medicaid | TX | |
| 080177675 | Other | TX | RR MEDICARE |
| 102158603 | Medicaid | TX | |
| 102158606 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H5816 (Texas) | Primary |
| 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 |
|---|---|
| Susanne Carol Yeagley, MD 2100 Hedgcoxe Rd Ste 120, Plano, TX 75025-3163 Ph: (972) 769-8443 | Susanne Carol Yeagley, MD 2100 Hedgcoxe Rd Ste 120, Plano, TX 75025-3163 Ph: (972) 769-8443 |
Elaine C. Timm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Matthew Garrett Weyenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Dr. Lorenzo Fredi Perez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3821 W Spring Creek Pkwy, Plano, TX 75023 Phone: 972-599-0077 | |
Dr. Mahdi M Awwad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 W Park Blvd, Plano, TX 75093 Phone: 724-824-2919 | |
Khanh Thoai Truong, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6513 Chase Oaks Blvd Ste A, Plano, TX 75023 Phone: 972-509-0752 Fax: 972-517-8770 | |
Dr. Seema C Modi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5941 Dallas Pkwy Ste 100, Plano, TX 75093 Phone: 972-758-4455 Fax: 972-758-4433 | |
Dr. Gregory Alan Ennis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5655 West Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 |