| Alice Ann Bagby, FNP | |
|
711 W Lampasas St, Ennis, TX 75119-4533 | |
| (214) 666-6259 | |
| Not Available |
| Full Name | Alice Ann Bagby |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 711 W Lampasas St, Ennis, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972298842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1114691 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ennis Regional Medical Center | Ennis, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Impact Health Direct Primary Care, Pllc | 8527499839 | 2 |
| Entity Name | Renovar Wellcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013407451 PECOS PAC ID: 5092061994 Enrollment ID: O20180709000147 |
| Entity Name | Impact Health Direct Primary Care, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760004188 PECOS PAC ID: 8527499839 Enrollment ID: O20200520000994 |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Ann Bagby, FNP 230 O Connor Ridge Blvd Ste 110, Irving, TX 75038-6513 Ph: (214) 666-6259 | Alice Ann Bagby, FNP 711 W Lampasas St, Ennis, TX 75119-4533 Ph: (214) 666-6259 |
Mark Christopher Pollard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2203 W Lampasas St Ste 111, Ennis, TX 75119 Phone: 972-875-0900 | |
Leslie Elaine Donet, RN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 805 S Clay St, Ennis, TX 75119 Phone: 972-875-8300 | |
Mrs. Courtney Aguado, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2201 W Lampasas St, Ennis, TX 75119 Phone: 469-256-2412 | |
Mr. Lemuel Wayne Kemp Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2203 W Lampasas St Ste 205, Ennis, TX 75119 Phone: 972-875-6200 Fax: 972-875-6414 | |
Mrs. Jannie Wong, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1905 W Ennis Ave Ste 303, Ennis, TX 75119 Phone: 469-256-0343 | |
Janeal Louise Kitchens, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2203 W Lampasas St Ste 101, Ennis, TX 75119 Phone: 972-875-7799 Fax: 972-878-3031 | |
Mrs. Jareka Lynne Anderson, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 S Clay St Ste 104, Ennis, TX 75119 Phone: 972-875-6600 Fax: 877-460-4501 |