| Ann Catherine Teal, PA-C | |
|
815 Pennsylvania Ave, Fort Worth, TX 76104-2294 | |
| (817) 321-0404 | |
| Not Available |
| Full Name | Ann Catherine Teal |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 815 Pennsylvania Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679561914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | PA02558 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jps Health Network | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Care In Radiology | 8729429592 | 15 |
| Radiology Associates Of North Texas Pa | 7911897301 | 340 |
| Entity Name | Radiology Associates of North Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710970975 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531 |
| Entity Name | Legacy Heartcare of Dallas, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144520503 PECOS PAC ID: 6305029653 Enrollment ID: O20110323000595 |
| Entity Name | Legacy Heart Care of San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285057935 PECOS PAC ID: 9830316645 Enrollment ID: O20140818002280 |
| Entity Name | Legacy Heart Care of South Austin, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346768892 PECOS PAC ID: 0446526925 Enrollment ID: O20171027002344 |
| Entity Name | Legacy Heart Care of Midtown Austin, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356869804 PECOS PAC ID: 3577829886 Enrollment ID: O20171102000107 |
| Entity Name | Clinical Care in Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578331393 PECOS PAC ID: 8729429592 Enrollment ID: O20240510000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Catherine Teal, PA-C 816 W Cannon St, Fort Worth, TX 76104-3194 Ph: (817) 321-0390 | Ann Catherine Teal, PA-C 815 Pennsylvania Ave, Fort Worth, TX 76104-2294 Ph: (817) 321-0404 |
Phillip Steven Woessner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 |
Shane Kelleher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7840 Fax: 682-885-7856 |
Danielle Purcell Lopez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 |
Jaimie Ann Story, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-375-5200 |
Benjamin Craig, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2500 Fax: 682-885-2510 |
Sharyl Workman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-1100 |
Mrs. Audrey Raquel Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Hemphill St, Fort Worth, TX 76104 Phone: 817-332-4060 Fax: 817-332-2304 |