| Kalee Kirk, | |
|
105 Medical Plz, Sulphur Springs, TX 75482 | |
| (903) 885-3181 | |
| (903) 885-1329 |
| Full Name | Kalee Kirk |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 105 Medical Plz, Sulphur Springs, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407232010 | NPI | - | NPPES |
| 75-2616977-007 | Other | TX | TRICARE |
| P01912519 | Other | TX | MEDICARE RAIL ROAD |
| 75-2616977-129 | Other | TX | TRICARE |
| 8HD650 | Other | TX | BCBS |
| 369819302 | Medicaid | TX | |
| 596475YNSX | Other | TX | MEDICARE |
| 75-2616977-002 | Other | TX | TRICARE |
| 8404MB | Other | TX | BCBS |
| 75-2616977-028 | Other | TX | TRICARE |
| 75-2616977-001 | Other | TX | TRICARE |
| 75-0818167-022 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oliver Street 5.01(a) Inc | 0042464125 | 169 |
| 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 | 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kalee Kirk, Po Box 1367, Sulphur Springs, TX 75483-1367 Ph: (903) 885-3181 | Kalee Kirk, 105 Medical Plz, Sulphur Springs, TX 75482 Ph: (903) 885-3181 |
Adrian Denise Childress, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 |
Greg Barrett, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 Medical Plz, Sulphur Springs, TX 75482 Phone: 903-885-3181 Fax: 903-885-1329 |
Mrs. Chandra Deel Oud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 |
Lara Jennifer Beverly, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1339 S Broadway St, Sulphur Springs, TX 75482 Phone: 903-951-1001 |
Kelly Margaret Webb, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Airport Rd Ste 140, Sulphur Springs, TX 75482 Phone: 903-582-4424 Fax: 903-582-4423 |
Monica Foote Ward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1339 S Broadway St, Sulphur Springs, TX 75482 Phone: 903-951-1001 |
Mallikarjun Devappa Lalgondar, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 115 Airport Rd, Sulphur Springs, TX 75482 Phone: 903-885-7671 |