| Charity Joy Burkhardt, PA | |
|
3065 W Southlake Blvd # 140, Southlake, TX 76092-6730 | |
| (817) 380-5911 | |
| (817) 385-6579 |
| Full Name | Charity Joy Burkhardt |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 3065 W Southlake Blvd # 140, Southlake, 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 |
|---|---|---|---|
| 1689010340 | NPI | - | NPPES |
| S0201078 | Other | TX | DPS CERTIFICATE NUMBER |
| PA08610 | Other | TX | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | On Site Dermatology of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568808459 PECOS PAC ID: 4082857966 Enrollment ID: O20130823001230 |
| Entity Name | Forefront Dermatology SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639808652 PECOS PAC ID: 3779471701 Enrollment ID: O20220629000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Charity Joy Burkhardt, PA 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Charity Joy Burkhardt, PA 3065 W Southlake Blvd # 140, Southlake, TX 76092-6730 Ph: (817) 380-5911 |
Micah Christian Bowman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2419 W Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 469-535-6842 |
Lauren Ashley Shepherd, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 505 S Nolen Dr Ste B, Southlake, TX 76092 Phone: 817-410-7777 |
Christine D Lawson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3065 W Southlake Blvd # 140, Southlake, TX 76092 Phone: 817-380-5911 Fax: 817-385-6579 |
Halie Annette Moreno, PA-C, MPAS, MPH Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 W Southlake Blvd Ste 420, Southlake, TX 76092 Phone: 870-918-2463 |
Melissa Wedesky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1130 N Kimball Ave Ste 100, Southlake, TX 76092 Phone: 817-865-3564 |
Kristi Lee West, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6026 |
Lisa Tshuma, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 321 W Southlake Blvd, Suite #180, Southlake, TX 76092 Phone: 817-416-2905 Fax: 817-416-7284 |