| Mr Alfred Douglas, DMSC | |
|
3591 Mckinney St, Melissa, TX 75454-9571 | |
| (972) 464-1611 | |
| Not Available |
| Full Name | Mr Alfred Douglas |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 3591 Mckinney St, Melissa, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326463282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA15566 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Health Physicians Pllc | 7810237740 | 240 |
| Communitymed Pllc | 9830315126 | 46 |
| Entity Name | Communitymed PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821417072 PECOS PAC ID: 9830315126 Enrollment ID: O20140722002029 |
| Entity Name | Primary Health Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770048704 PECOS PAC ID: 7810237740 Enrollment ID: O20190312003418 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Alfred Douglas, DMSC 3591 Mckinney St, Melissa, TX 75454-9571 Ph: Not Available | Mr Alfred Douglas, DMSC 3591 Mckinney St, Melissa, TX 75454-9571 Ph: (972) 464-1611 |
Savannah Silvestry, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 230 W Melissa Rd Apt 2011, Melissa, TX 75454 Phone: 512-577-3951 |
Jenifer L Branson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3591 Mckinney St Ste 100, Melissa, TX 75454 Phone: 469-468-9999 Fax: 972-981-3600 |
Mrs. Kristine Jane Kucera, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3041 Washington Drive, Suite 400, Melissa, TX 75454 Phone: 469-581-0599 Fax: 469-581-0598 |