| Kellie Marie Reardon, FNP | |
|
1301 Wonder World Dr, San Marcos, TX 78666-7533 | |
| (512) 753-3796 | |
| Not Available |
| Full Name | Kellie Marie Reardon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 31 Years |
| Location | 1301 Wonder World Dr, San Marcos, 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 |
|---|---|---|---|
| 1487645404 | NPI | - | NPPES |
| 142619904 | Medicaid | TX | |
| 89N666 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 516912 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lone Star Emergency Associates Llc | 7113054446 | 9 |
| Entity Name | Maverick Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306806781 PECOS PAC ID: 6002878337 Enrollment ID: O20041029000433 |
| 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 | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Laredo Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144254327 PECOS PAC ID: 5395741896 Enrollment ID: O20061005000481 |
| Entity Name | Victoria Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407917164 PECOS PAC ID: 7911005087 Enrollment ID: O20070613000507 |
| Entity Name | Ucp Physicians Of Central Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922289412 PECOS PAC ID: 3173697935 Enrollment ID: O20080729000203 |
| Entity Name | Lone Star Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457709040 PECOS PAC ID: 7113054446 Enrollment ID: O20100419000563 |
| Entity Name | Oleander Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1346515103 PECOS PAC ID: 1759544232 Enrollment ID: O20120521000151 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Memorial Hermann Hospital Based Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295363497 PECOS PAC ID: 4385075480 Enrollment ID: O20200505001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie Marie Reardon, FNP 4680 County Road 419, Yoakum, TX 77995-7049 Ph: (361) 741-2678 | Kellie Marie Reardon, FNP 1301 Wonder World Dr, San Marcos, TX 78666-7533 Ph: (512) 753-3796 |
Mr. Manuel Rene Galan, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1509 N Interstate 35, San Marcos, TX 78666 Phone: 512-648-6188 | |
Bianca Blackstone, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1305 Wonder World Dr Ste 200, San Marcos, TX 78666 Phone: 512-754-8676 Fax: 512-371-6891 | |
Mrs. Linda Lou Steele, RNCWHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Uhland Rd Ste 107, San Marcos, TX 78666 Phone: 512-392-1161 | |
Mrs. Ashley M Martin, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 Stagecoach Trl Ste 220, San Marcos, TX 78666 Phone: 844-824-8775 | |
Judith Elaine Gros, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Uhland Rd, Suite 107, San Marcos, TX 78666 Phone: 512-392-1161 Fax: 512-392-3530 | |
Ashley Ferguson, RN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1228 N Highway 123, San Marcos, TX 78666 Phone: 512-392-5556 Fax: 512-392-8828 | |
Mrs. Nikaley Anne Basham, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1228 N State Highway 123, San Marcos, TX 78666 Phone: 512-392-5556 |