| Diana Marie Mikulencak-picha, NP-C | |
|
1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 | |
| (830) 672-8502 | |
| Not Available |
| Full Name | Diana Marie Mikulencak-picha |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1110 N Sarah Dewitt Dr, Gonzales, 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 |
|---|---|---|---|
| 1790283596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 830443 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP136271 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Gonzales, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gonzales Healthcare Systems | 8527963776 | 32 |
| Entity Name | Gonzales Healthcare Systems |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013916287 PECOS PAC ID: 8527963776 Enrollment ID: O20040316001074 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Marie Mikulencak-picha, NP-C 1430 N Avenue B, Shiner, TX 77984-6220 Ph: (361) 401-1344 | Diana Marie Mikulencak-picha, NP-C 1110 N Sarah Dewitt Dr, Gonzales, TX 78629-3311 Ph: (830) 672-8502 |
Ms. Katherine D Paterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 228 Saint George St, Gonzales, TX 78629 Phone: 830-672-6511 | |
Mrs. Patrick Ann Caldwell, WHNP, RNC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 228 Saint George St, Gonzales, TX 78629 Phone: 830-672-6511 Fax: 830-672-6430 | |
Ms. April Nicole Hall, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 228 Saint George St, Gonzales, TX 78629 Phone: 830-672-6511 Fax: 830-672-6430 | |
Ms. Priscilla Layton, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1103 N Sarah Dewitt Dr, Gonzales, TX 78629 Phone: 830-672-2424 | |
Jasmine Bonder, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Sarah Dewitt Dr, Gonzales, TX 78629 Phone: 830-672-8502 Fax: 830-672-3035 | |
Valerie Magana Hohenshell, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 N College St, Gonzales, TX 78629 Phone: 512-786-8141 | |
Celina D Mccown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 N Sarah Dewitt Dr, Gonzales, TX 78629 Phone: 830-672-8502 Fax: 830-672-3035 |