| Joel D Mack, NP | |
|
3515 Richmond Rd, Texarkana, TX 75503 | |
| (903) 791-9355 | |
| Not Available |
| Full Name | Joel D Mack |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 3515 Richmond Rd, Texarkana, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649335233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 618334 (Texas) | Primary |
| Entity Name | Communitymed Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821417072 PECOS PAC ID: 9830315126 Enrollment ID: O20140722002029 |
| Entity Name | Communitymed Pcp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063818219 PECOS PAC ID: 7618295007 Enrollment ID: O20150415001009 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel D Mack, NP 3005 Princeton Dr, Plano, TX 75075-7655 Ph: (214) 470-3174 | Joel D Mack, NP 3515 Richmond Rd, Texarkana, TX 75503 Ph: (903) 791-9355 |
Sally A Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3515 Richmond Rd, Texarkana, TX 75503 Phone: 903-791-9355 Fax: 903-831-7273 | |
Virginia Ann Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Ms. Marla Kay English-pickett, GNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16060 Broadleaf, Texarkana, TX 75503 Phone: 903-838-0031 | |
Laura L Jackson, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Caleb Cain, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3510 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-5220 Fax: 903-614-5229 | |
Ms. Michelle Cheri Craft, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 Moores Ln, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 833-491-2722 | |
Jamie G Dodd, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5904 Summerfield Dr, Texarkana, TX 75503 Phone: 430-200-4350 Fax: 866-337-1615 |