| Brent J Wetendorf, RN, MSN, NP-C | |
|
4206 Call Field Rd, Wichita Falls, TX 76308-2519 | |
| (940) 397-5200 | |
| (940) 397-5292 |
| Full Name | Brent J Wetendorf |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 4206 Call Field Rd, Wichita Falls, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134437346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 719626 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healing Hands Healthcare Llc | Wichita falls, TX | Home health agency |
| Kell West Regional Hospital | Wichita falls, TX | Hospital |
| United Regional Health Care System | Wichita falls, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kell West Regional Hospital Llc | 2365435898 | 2 |
| Entity Name | Kell West Regional Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669480323 PECOS PAC ID: 2365435898 Enrollment ID: O20040408000267 |
| Entity Name | Mrunalini Radkar Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104256189 PECOS PAC ID: 2264669191 Enrollment ID: O20131220000271 |
| Entity Name | Little Black Bag House Calls Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376078881 PECOS PAC ID: 2163794629 Enrollment ID: O20170817001749 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent J Wetendorf, RN, MSN, NP-C 4825 Olympic Dr, Wichita Falls, TX 76310-2837 Ph: (940) 397-5200 | Brent J Wetendorf, RN, MSN, NP-C 4206 Call Field Rd, Wichita Falls, TX 76308-2519 Ph: (940) 397-5200 |
Eric Lee Williams, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4206 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-397-5200 Fax: 940-397-5292 | |
Jessica Denea Lander, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4206 Call Field Rd, Wichita Falls, TX 76308 Phone: 940-397-5200 | |
Ashley Nicole Williams, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4327 Barnett Rd, Wichita Falls, TX 76310 Phone: 940-764-5503 | |
Jeanette Gunn, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6515 Kemp Blvd, Wichita Falls, TX 76308 Phone: 406-921-2209 | |
Judith L Brewer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 867 Wellington Ln, Wichita Falls, TX 76305 Phone: 940-704-4496 | |
Mrs. Hanh T Roller, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4327 Barnett Rd, Wichita Falls, TX 76310 Phone: 940-764-5200 Fax: 940-764-5201 | |
Jonie Gene Lyon, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4518 Kemp Blvd, Wichita Falls, TX 76308 Phone: 940-757-0234 |