| Kaylie Alexandra Temporal, PA | |
|
824 Southpark Cir, Athens, TX 75752-6943 | |
| (903) 675-7376 | |
| (903) 677-4234 |
| Full Name | Kaylie Alexandra Temporal |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 824 Southpark Cir, Athens, 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 |
|---|---|---|---|
| 1861896300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09471 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mark L Eldore Md Pllc | 9335457050 | 2 |
| Entity Name | Mark L Eldore MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831107028 PECOS PAC ID: 9335457050 Enrollment ID: O20150930000838 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaylie Alexandra Temporal, PA 824 Southpark Cir, Athens, TX 75752-6943 Ph: (903) 675-7376 | Kaylie Alexandra Temporal, PA 824 Southpark Cir, Athens, TX 75752-6943 Ph: (903) 675-7376 |
Mrs. Jennifer Ann Mahmoud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 S Palestine St, Athens, TX 75751 Phone: 903-677-3737 Fax: 903-677-6014 |
Kristopher Ryan Kohout, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1115 E Tyler St, Athens, TX 75751 Phone: 903-292-5015 Fax: 903-292-5021 |
Erica Janae Lunsford, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1115 E Tyler St, Athens, TX 75751 Phone: 903-292-5015 Fax: 903-292-5021 |
Mrs. Vanessa Laws, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1123 S Palestine St Ste 300, Athens, TX 75751 Phone: 903-939-7500 |
Paul Timothy Morelli, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 South Palestine, Suite A, Athens, TX 75751 Phone: 903-675-9339 Fax: 903-675-9344 |
Kirk F Gautier, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 805 S Palestine St, Athens, TX 75751 Phone: 903-534-6200 Fax: 903-939-0755 |