| Donna L Brazell, NP | |
|
113 Walnut St, Idalou, TX 79329 | |
| (806) 892-2537 | |
| (806) 892-2726 |
| Full Name | Donna L Brazell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 25 Years |
| Location | 113 Walnut St, Idalou, 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 |
|---|---|---|---|
| 1346354818 | NPI | - | NPPES |
| 018953203 | Medicaid | TX | |
| 131550102 | Other | TX | FIRST CARE |
| 8N7014 | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 551054 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP110366 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of West Texas Llc | Lubbock, TX | Home health agency |
| University Medical Center | Lubbock, TX | Hospital |
| Covenant Childrens Hospital | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Umc Physicians | 9830003631 | 109 |
| Entity Name | Umc Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669418547 PECOS PAC ID: 9830003631 Enrollment ID: O20040406001716 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna L Brazell, NP 5219 City Bank Pkwy Ste 35, Lubbock, TX 79407 Ph: (806) 761-0333 | Donna L Brazell, NP 113 Walnut St, Idalou, TX 79329 Ph: (806) 892-2537 |
Vicki Buxkemper, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 Walnut St, Idalou, TX 79329 Phone: 806-892-2537 Fax: 806-892-2726 | |
Amanda D Moore, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 113 Walnut St, Idalou, TX 79329 Phone: 806-892-2537 Fax: 806-892-2726 |