| Elyssee Frejoles, NP-C | |
|
2401 S 31st St, Temple, TX 76508-0001 | |
| (254) 724-2111 | |
| (254) 724-7603 |
| Full Name | Elyssee Frejoles |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 2401 S 31st St, Temple, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871942508 | NPI | - | NPPES |
| 403558601 | Medicaid | TX | |
| 403558602 | Other | TX | CSHCN MEDICAID |
| 8LT457 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | AP140133 (Texas) | Primary |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626560 PECOS PAC ID: 2264691070 Enrollment ID: O20121218000412 |
| Mailing Address | Practice Location Address |
|---|---|
| Elyssee Frejoles, NP-C Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Elyssee Frejoles, NP-C 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2111 |
Jason Derek Bradshaw, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S 1st St, Temple, TX 76504 Phone: 254-743-0714 | |
Ms. Misti Liden, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Clinite Grove Blvd Ste 130, Temple, TX 76502 Phone: 254-314-8699 | |
Rodney Duckett, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Melrose Ln, Temple, TX 76502 Phone: 254-598-0240 | |
Kamia Rochelle Scroggins Fasheun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Samantha Rufaro Makina, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Andrea Patterson, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Mrs. Milicent Cherisse Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, 4b Pediatric Gastroenterology Clinic, Temple, TX 76508 Phone: 254-724-2708 |