| Carly Lyndell Duncan, | |
|
11 Woodland Park Dr, Shepherd, TX 77371-6495 | |
| (936) 628-1100 | |
| (936) 628-1188 |
| Full Name | Carly Lyndell Duncan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 11 Woodland Park Dr, Shepherd, 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 |
|---|---|---|---|
| 1124750278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1085983 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health Center Of Southeast Texas | 9739195041 | 15 |
| Entity Name | Health Center Of Southeast Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225059686 PECOS PAC ID: 9739195041 Enrollment ID: O20060223000543 |
| Entity Name | Vida Y Salud - Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770511032 PECOS PAC ID: 8820127848 Enrollment ID: O20110307000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Lyndell Duncan, 307 N William Barnett Ave, Cleveland, TX 77327-4061 Ph: (281) 592-2224 | Carly Lyndell Duncan, 11 Woodland Park Dr, Shepherd, TX 77371-6495 Ph: (936) 628-1100 |
Christina Rochelle Shrader, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Woodland Park Dr, Shepherd, TX 77371 Phone: 936-628-1100 | |
Reyna Avitia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1231 Byrd, Shepherd, TX 77371 Phone: 936-628-1694 Fax: 936-628-3109 | |
Krishawna Mund Thompson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16 N Liberty, Shepherd, TX 77371 Phone: 936-628-1694 Fax: 936-628-3109 |