| Jeremy Thomas Diver, PA-C | |
|
6316 Precinct Line Rd, Hurst, TX 76054-2766 | |
| (817) 605-2525 | |
| Not Available |
| Full Name | Jeremy Thomas Diver |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 6316 Precinct Line Rd, Hurst, 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 |
|---|---|---|---|
| 1679913354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Institute For Rehabilitation | Dallas, TX | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthtexas Provider Network | 1355254210 | 2535 |
| Entity Name | Cook Childrens Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Premier Independent Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437676640 PECOS PAC ID: 3375819535 Enrollment ID: O20171017000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Thomas Diver, PA-C 1512 Teasley Ln, Denton, TX 76205-7282 Ph: (940) 382-0980 | Jeremy Thomas Diver, PA-C 6316 Precinct Line Rd, Hurst, TX 76054-2766 Ph: (817) 605-2525 |
Tarjani S Mehta, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6316 Precinct Line Rd Ste A, Hurst, TX 76054 Phone: 817-605-2504 Fax: 817-605-2505 |
Mrs. Nabila Tabassum, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 779 Grapevine Hwy, Hurst, TX 76054 Phone: 817-428-7300 |
Stephanie A Hilton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 779 Grapevine Hwy, Hurst, TX 76054 Phone: 817-428-7300 Fax: 817-428-1085 |
Ray Shoulders, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1717 Precinct Line Rd Ste 200, Hurst, TX 76054 Phone: 936-615-8820 |
Linda Hua, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 804 Ne Mall Blvd, Hurst, TX 76053 Phone: 817-592-9700 |
Rajat Khadka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1709 Precinct Line Rd, Hurst, TX 76054 Phone: 817-281-0402 |
Audra Hodges, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6316 Precinct Line Rd, Hurst, TX 76054 Phone: 817-605-2504 |