| Suzanne M. Guynes, M.d.p.a. | |
|
115 E Lee Ave Weatherford TX 76086-5444 | |
| (817) 637-4358 | |
| (817) 594-5870 |
| Full Name | Suzanne M. Guynes, M.d.p.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 115 E Lee Ave, Weatherford, Texas |
| Authorized Official Name and Position | Lori Billman (CLAIMS MANAGER) |
| Authorized Official Contact | 9722589570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne M. Guynes, M.d.p.a. Po Box 92878 Southlake TX 76092-0878 Ph: (817) 488-5308 | Suzanne M. Guynes, M.d.p.a. 115 E Lee Ave Weatherford TX 76086-5444 Ph: (817) 637-4358 |
| NPI Number | 1063601466 |
|---|---|
| Provider Enumeration Date | 10/22/2007 |
| Last Update Date | 03/04/2016 |
| Medicare PECOS PAC ID | 4789589276 |
|---|---|
| Medicare Enrollment ID | O20031208000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063601466 | NPI | - | NPPES |
| 260045675 | Other | MEDICARE RAILROAD | |
| 00763N | Other | TX | BLUE CROSS BLUE SHIELD TEXAS |
| 081120001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | H9968 (Texas) | Primary |
| Provider Name | Suzanne Guynes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700896313 PECOS PAC ID: 7719882208 Enrollment ID: I20101110000896 |
| Provider Name | Deborah K Ignacio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164749529 PECOS PAC ID: 0143404517 Enrollment ID: I20110408000288 |
| Provider Name | Kamesha Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659742211 PECOS PAC ID: 0648577981 Enrollment ID: I20160331000332 |
| Provider Name | Stanley D Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033621347 PECOS PAC ID: 6204194822 Enrollment ID: I20180103000206 |
| Provider Name | Innocent Omale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326548637 PECOS PAC ID: 6608127279 Enrollment ID: I20180920000822 |
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