| Elle Roberts, | |
|
1204 Medical Plaza Ct, Granbury, TX 76048-5653 | |
| (817) 573-5688 | |
| (817) 415-0722 |
| Full Name | Elle Roberts |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 1204 Medical Plaza Ct, Granbury, 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 |
|---|---|---|---|
| 1932976263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA18330 (Texas) | Primary |
| 363A00000X | Physician Assistant | 12324567890 (West Virginia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jps Health Network | Fort worth, TX | Hospital |
| Lake Granbury Medical Center | Granbury, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Health Care Pllc | 7214840867 | 363 |
| Acclaim Physician Group Inc | 4587963582 | 520 |
| Seema Kazi Md Pa | 5193040772 | 22 |
| Entity Name | Texas Health Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477628873 PECOS PAC ID: 7214840867 Enrollment ID: O20031110000388 |
| Entity Name | Seema Kazi MD PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023423514 PECOS PAC ID: 5193040772 Enrollment ID: O20150203001701 |
| Entity Name | Acclaim Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Elle Roberts, 47 Hill St, Logan, OH 43138-1509 Ph: Not Available | Elle Roberts, 1204 Medical Plaza Ct, Granbury, TX 76048-5653 Ph: (817) 573-5688 |
Mrs. Summer D Cumba, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1212 Medical Plaza Ct, Granbury, TX 76048 Phone: 817-279-1776 Fax: 817-279-7206 |
Thomas Molton Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 223 S Morgan St, Granbury, TX 76048 Phone: 817-759-7000 Fax: 817-759-7027 |
Mrs. Morgan Marie Caraway, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3801 E Us Highway 377 Ste 100, Granbury, TX 76049 Phone: 817-573-1380 |
Mr. Frederick Mario Oriti, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1308 Paluxy Rd Ste 300, Granbury, TX 76048 Phone: 817-579-3978 Fax: 817-579-3977 |
Nicholas R Hagood, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1305 Paluxy Rd Ste A, Granbury, TX 76048 Phone: 817-573-6673 Fax: 817-573-9783 |
Mrs. Jennifer D Erwin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1308 Paluxy Rd Ste 200, Granbury, TX 76048 Phone: 817-573-5983 Fax: 817-573-5989 |
Ms. Raquel Coias Rubin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 805 Hill Blvd Unit 102, Granbury, TX 76048 Phone: 903-352-9893 |