| Kellie Lyn Flaherty, PA | |
|
2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503-2379 | |
| (903) 614-5111 | |
| Not Available |
| Full Name | Kellie Lyn Flaherty |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 2604 Saint Michael Dr, Texarkana, 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 |
|---|---|---|---|
| 1265988208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Brattleboro Memorial Hospital | Brattleboro, VT | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Christus Spohn Hospital Corpus Christi | Corpus christi, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Texas Intensivists, Pllc | 7810342672 | 37 |
| Jefferson Emergency Physicians Pllc | 4880048560 | 94 |
| Gulf Coast Intensivists, Pllc | 2264896364 | 39 |
| Entity Name | Travis County Emergency Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Cogent Healthcare of Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20061121000364 |
| Entity Name | Hospitalist Medicine Physicians of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
| Entity Name | Acute Care Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740655273 PECOS PAC ID: 6800190364 Enrollment ID: O20160204000716 |
| Entity Name | Union Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023798501 PECOS PAC ID: 7810359759 Enrollment ID: O20230809003411 |
| Entity Name | Northeast Texas Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225 |
| Entity Name | Gulf Coast Intensivists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104509199 PECOS PAC ID: 2264896364 Enrollment ID: O20230907002726 |
| Entity Name | Jefferson Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609559699 PECOS PAC ID: 4880048560 Enrollment ID: O20230928003491 |
| Entity Name | Southeast Texas Intensivists, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801579867 PECOS PAC ID: 7810342672 Enrollment ID: O20231013001474 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Lyn Flaherty, PA 2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503-2379 Ph: Not Available | Kellie Lyn Flaherty, PA 2604 Saint Michael Dr, Suite 340, Texarkana, TX 75503-2379 Ph: (903) 614-5111 |
William Bowling, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 |
Matthew Nathan Sparks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 |
Jennifer Siskron Ogle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1920 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-6114 Fax: 903-792-0582 |
Ms. Cynthiia Collum, RNFA, BSN Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5420 Medical Parkway Dr, Texarkana, TX 75503 Phone: 903-793-8966 Fax: 903-792-1722 |
Aidan Goodreau, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2604 Saint Michael Dr Ste 425, Texarkana, TX 75503 Phone: 903-614-5641 |
Bryan Spruill, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3008 Fax: 903-614-3525 |
Stephen Kyle Keith, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 |