| Jacqueline Louise Wellborn, | |
|
104 S Walnut St, Hico, TX 76457 | |
| (254) 796-4224 | |
| (866) 264-2163 |
| Full Name | Jacqueline Louise Wellborn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 104 S Walnut St, Hico, 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 |
|---|---|---|---|
| 1871258152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 883588 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2021118463 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hamilton General Hospital | Hamilton, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hamilton County Hospital District | 2062326234 | 17 |
| Entity Name | Hamilton County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326037607 PECOS PAC ID: 2062326234 Enrollment ID: O20031113000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Louise Wellborn, 400 N Brown St, Hamilton, TX 76531-1518 Ph: (254) 386-1895 | Jacqueline Louise Wellborn, 104 S Walnut St, Hico, TX 76457 Ph: (254) 796-4224 |
Mrs. Stephanie Shepherd, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut Street, Hico, TX 76457 Phone: 254-796-4224 Fax: 254-796-4064 | |
Karen Jo Ripley, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 N Second St, Hico, TX 76457 Phone: 254-374-0430 Fax: 254-442-0400 | |
Mrs. Bertha Janene Eiland, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut Street, Hico Clinic, Hico, TX 76457 Phone: 254-796-4224 Fax: 254-386-4064 | |
Heather Wyatt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 N. Second St, Hico, TX 76457 Phone: 254-374-0430 Fax: 254-442-0400 |