| Amy B Souter, FNP | |
|
403 State Highway 110 N, Whitehouse, TX 75791-3109 | |
| (903) 839-1000 | |
| (903) 839-4000 |
| Full Name | Amy B Souter |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 403 State Highway 110 N, Whitehouse, 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 |
|---|---|---|---|
| 1881972727 | NPI | - | NPPES |
| 8EM889 | Other | TX | BCBSTX |
| 1881972727 | Other | TX | BCBSTX |
| P01436333 | Other | TX | RR MEDICARE |
| 1881972727 | Other | NPI | |
| 2867178-02 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 712711 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 712711 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Texas Spine & Joint Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charles R Gordon Md Pa | 8729992052 | 21 |
| Entity Name | Charles R Gordon Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982717955 PECOS PAC ID: 8729992052 Enrollment ID: O20031206000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy B Souter, FNP 13027 State Highway 155 S, Tyler, TX 75703-6548 Ph: (903) 839-1000 | Amy B Souter, FNP 403 State Highway 110 N, Whitehouse, TX 75791-3109 Ph: (903) 839-1000 |
Ashley R Bockmon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Hwy 110 N, N Bay O, Whitehouse, TX 75791 Phone: 903-839-2585 | |
Renata J Peyreau, FNP-C, GNP-C, RNFA Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15632 State Highway 110 S, 19, Whitehouse, TX 75791 Phone: 903-871-2132 Fax: 903-871-2333 | |
Brandi Cornelio, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Hwy 110 N Ste N, Whitehouse, TX 75791 Phone: 903-839-1775 Fax: 903-839-1788 | |
Natalie Nicole Starkey, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 Sate Highway 110 North, Whitehouse, TX 75791 Phone: 903-520-0072 | |
Mr. Christopher Allen Grier, MSN, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 Pearl Ct, Whitehouse, TX 75791 Phone: 903-530-9877 | |
Alicia N Suarez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 306 E Main St, Whitehouse, TX 75791 Phone: 903-871-1317 | |
Cheryl D Layne, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 403 State Highway 110 N, Whitehouse, TX 75791 Phone: 903-202-7002 Fax: 903-352-3297 |