| Debra Sue Mahoney, FNP | |
|
1600 Broadway Ave, Gladewater, TX 75647-5040 | |
| (903) 315-5630 | |
| (903) 845-6212 |
| Full Name | Debra Sue Mahoney |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1600 Broadway Ave, Gladewater, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265619241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP109268 (Texas) | Primary |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Sue Mahoney, FNP Po Box 4207, Longview, TX 75606-4207 Ph: (903) 315-4105 | Debra Sue Mahoney, FNP 1600 Broadway Ave, Gladewater, TX 75647-5040 Ph: (903) 315-5630 |
Tracy Casey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Broadway Ave, Gladewater, TX 75647 Phone: 903-315-5630 | |
Macy Santee, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 307 W Upshur Ave, Gladewater, TX 75647 Phone: 903-845-2159 Fax: 903-845-5451 | |
Cassandra Ford, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 307 W Upshur Ave, Gladewater, TX 75647 Phone: 903-845-2159 Fax: 903-845-5451 | |
Samantha Spiro Landry, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Broadway Ave, Gladewater, TX 75647 Phone: 903-315-5630 | |
Heather M Wilson, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9819 Union Grove Rd, Gladewater, TX 75647 Phone: 903-472-2359 | |
Kalana Sanders, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 307 W Upshur Ave, Gladewater, TX 75647 Phone: 903-845-2159 Fax: 903-845-5451 |