| Bailey Pendergraft, | |
|
12001 South Fwy Ste 205, Burleson, TX 76028-7214 | |
| (817) 568-0500 | |
| Not Available |
| Full Name | Bailey Pendergraft |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 12001 South Fwy Ste 205, Burleson, 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 |
|---|---|---|---|
| 1376251470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16509 (Texas) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 754607 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| M Basem Chaker, Md Pa | 8123048550 | 3 |
| Entity Name | M Basem Chaker, MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069267 PECOS PAC ID: 8123048550 Enrollment ID: O20051130000813 |
| Entity Name | Epiphany Dermatology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Pendergraft, 12001 South Fwy Ste 205, Burleson, TX 76028-7214 Ph: (817) 568-0500 | Bailey Pendergraft, 12001 South Fwy Ste 205, Burleson, TX 76028-7214 Ph: (817) 568-0500 |
Haley Kathryn Rehm, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 |
Noelia Delgado Rosas, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 215 Old Highway 1187, Burleson, TX 76028 Phone: 817-926-2663 |
Mr. Jose Calderon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy Ste 140, Burleson, TX 76028 Phone: 817-551-6161 Fax: 817-551-6177 |
Shellie Diane Shepherd, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 12608 South Fwy Ste 140, Burleson, TX 76028 Phone: 817-295-7214 Fax: 817-295-7062 |
Courtney Kay Fernandez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2730 Sw Wilshire Blvd, Burleson, TX 76028 Phone: 817-916-5180 |
Morgan Ashley Thomas, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 12001 South Fwy Ste 307, Burleson, TX 76028 Phone: 817-568-8700 |
Kevin Barron, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1501 Sw Wilshire Blvd, Burleson, TX 76028 Phone: 817-295-9400 Fax: 817-295-9408 |