| Angela Mickles, PA-C | |
|
2800 E Broad St, Mansfield, TX 76063-6409 | |
| (469) 695-2028 | |
| (469) 695-2029 |
| Full Name | Angela Mickles |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 2800 E Broad St, Mansfield, 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 |
|---|---|---|---|
| 1851769723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09866 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical City Plano | Plano, TX | Hospital |
| Baylor Scott & White The Heart Hospital Plano | Plano, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Surgery Associates Of Ntx Pllc | 7810219375 | 50 |
| Entity Name | Medhealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832 |
| Entity Name | Surgery Associates of Ntx PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134522691 PECOS PAC ID: 7810219375 Enrollment ID: O20141211001538 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Mickles, PA-C 2800 E Broad St, Mansfield, TX 76063-6409 Ph: (469) 695-2028 | Angela Mickles, PA-C 2800 E Broad St, Mansfield, TX 76063-6409 Ph: (469) 695-2028 |
Mrs. Brittany Rachael Desantiago, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 682-518-8619 Fax: 682-518-8195 |
Mrs. Trupti Patel, PA-CC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1011 Matlock Rd, Mansfield, TX 76063 Phone: 817-225-6888 Fax: 817-377-6570 |
Joshua Dewayne Wright, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 806-447-5311 Fax: 806-447-3090 |
Ms. Tzietal Gail Davidson, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 E Debbie Ln, Suite 2109, Mansfield, TX 76063 Phone: 817-453-8620 Fax: 817-473-9126 |
Olha Elorreaga, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2801 E Broad St, Mansfield, TX 76063 Phone: 817-375-5200 |
Jeanette Lopez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063 Phone: 682-341-3910 |
Miss Ashlee Elaine Braziel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-6470 |