| Johnson N Mwangi, PA-C | |
|
1720 S Beckham Ave Ste 102, Tyler, TX 75701-4437 | |
| (903) 618-2125 | |
| Not Available |
| Full Name | Johnson N Mwangi |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 1720 S Beckham Ave Ste 102, Tyler, 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 |
|---|---|---|---|
| 1578748505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA011035 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA011035 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Epiphany Dermatology Pa | 3971827791 | 106 |
| Epiphany Dermatology Of Oklahoma Llc | 5597042903 | 5 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Acs Primary Care Physicians Southwest PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Oliver Street 5.01(a) Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
| Entity Name | Epiphany Dermatology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
| Entity Name | Cec Lakeway Urgent Care Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285088161 PECOS PAC ID: 8123318169 Enrollment ID: O20160603001598 |
| Entity Name | UT East Texas Urgent Care Centers, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356974281 PECOS PAC ID: 7517385388 Enrollment ID: O20200910000672 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnson N Mwangi, PA-C 5310 Harvest Hill Rd Ste 290, Dallas, TX 75230-5826 Ph: (214) 420-0650 | Johnson N Mwangi, PA-C 1720 S Beckham Ave Ste 102, Tyler, TX 75701-4437 Ph: (903) 618-2125 |
David Robert Dewalch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701 Phone: 903-596-3488 |
Anna Beth Willits, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3414 Golden Rd Apt B, Tyler, TX 75701 Phone: 325-665-8276 |
Mrs. Dawn Elise O'neal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 410, Tyler, TX 75701 Phone: 903-531-8950 |
Charles Crowell Pierce, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave Ste 305, Tyler, TX 75701 Phone: 903-606-1173 |
Matthew Tassinari, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2208 Three Lakes Pkwy Ste 200, Tyler, TX 75703 Phone: 903-596-3844 Fax: 903-596-3843 |
Jordan Fayth Cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8101 S Broadway Ave, Tyler, TX 75703 Phone: 903-939-7500 Fax: 903-939-7728 |
Mrs. Megan Renee Followwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5777 New Copeland Rd, Tyler, TX 75703 Phone: 903-561-9255 |