| Jason Payne, | |
|
6100 Eastridge Rd, Odessa, TX 79762-5002 | |
| (432) 238-5076 | |
| Not Available |
| Full Name | Jason Payne |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 6100 Eastridge Rd, Odessa, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497580609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1173868 (Texas) | Primary |
| Entity Name | Trinity Family Practice & Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750869194 PECOS PAC ID: 4789924432 Enrollment ID: O20190318000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Payne, 6300 Montana Ave, Odessa, TX 79762-9351 Ph: (432) 238-5076 | Jason Payne, 6100 Eastridge Rd, Odessa, TX 79762-5002 Ph: (432) 238-5076 |
Sandra Nieto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884 | |
Tiffany L Vaught, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 605 E 4th St Ste 203, Odessa, TX 79761 Phone: 432-617-8329 | |
Florenda De Guzman, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 405 N Tom Green, Odessa, TX 79761 Phone: 432-580-9876 Fax: 432-580-9877 | |
Mrs. Sarah Joy Bender, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 432-550-1000 | |
Mrs. Cryselda Ann Russell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 608 N Muskingum Ave, Odessa, TX 79761 Phone: 432-580-9168 Fax: 432-580-8221 | |
Abidemi Yemisi Adeniran, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-2401 Fax: 432-640-4778 | |
Morris Al Smith, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Shiloh Rd, Odessa, TX 79762 Phone: 432-552-7913 |