| Courtney Rene Kissling, | |
|
2140 N Hwy 121, Bonham, TX 75418 | |
| (430) 703-1550 | |
| Not Available |
| Full Name | Courtney Rene Kissling |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 2140 N Hwy 121, Bonham, 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 |
|---|---|---|---|
| 1407518525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1055942 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1055942 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Qv Urgent Care Tx Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568098887 PECOS PAC ID: 5395176267 Enrollment ID: O20200508000781 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Rene Kissling, 2140 N Hwy 121, Bonham, TX 75418 Ph: () - | Courtney Rene Kissling, 2140 N Hwy 121, Bonham, TX 75418 Ph: (430) 703-1550 |
Mrs. Shannon Morgan Mayville, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 E 9th St, Bonham, TX 75418 Phone: 903-583-6320 | |
Benjamin Hanssen, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1211 E 6th St Ste 300, Bonham, TX 75418 Phone: 903-583-6155 | |
Ms. Margaret Ann Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 E 9th St, Bonham, TX 75418 Phone: 903-583-6241 Fax: 903-583-6226 | |
Vivian Powtakien, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2140 N State Highway 121, Bonham, TX 75418 Phone: 430-703-1550 Fax: 430-703-1558 | |
Mrs. Nancy Gray Cook, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 E 9th St, Bonham, TX 75418 Phone: 903-583-6716 Fax: 903-583-6625 | |
Lillie Heidari Bigvand, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 E 9th St, Bonham, TX 75418 Phone: 903-583-2111 |