| Jeffrey Jessada Lertdilok, FNP-C | |
|
4100 Fairway Dr Ste 320, Carrollton, TX 75010-6537 | |
| (972) 236-7608 | |
| Not Available |
| Full Name | Jeffrey Jessada Lertdilok |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 4100 Fairway Dr Ste 320, Carrollton, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720621071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP142915 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovative Infusions Llc | 6608054044 | 97 |
| Entity Name | Innovative Infusions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811299944 PECOS PAC ID: 6608054044 Enrollment ID: O20110707000108 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Jessada Lertdilok, FNP-C 4132 Catawba Ave, Carrollton, TX 75010-1196 Ph: (972) 746-8250 | Jeffrey Jessada Lertdilok, FNP-C 4100 Fairway Dr Ste 320, Carrollton, TX 75010-6537 Ph: (972) 236-7608 |
Esther Wangari Mungai, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Fairway Dr Ste 620, Carrollton, TX 75010 Phone: 972-492-9901 Fax: 972-492-9902 | |
Poonam Misra, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4325 N Josey Lane, Carrollton, TX 75010 Phone: 469-574-2022 | |
Mrs. Brooke Johnson Conant, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4221 Medical Pkwy Ste 250, Carrollton, TX 75010 Phone: 972-492-0333 | |
Stella Apari, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3740 N Josey Ln Ste 213, Carrollton, TX 75007 Phone: 214-810-5543 Fax: 469-200-5277 | |
Betty Reyes-restrepo, MSN, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4333 N Josey Ln Ste 100, Carrollton, TX 75010 Phone: 469-459-8899 | |
Jeannette George, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212 N Josey Ln Ste 110, Carrollton, TX 75006 Phone: 469-294-1402 | |
Anabelle Rose Montague, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2233 Washington Dr, Carrollton, TX 75010 Phone: 469-386-0669 |