| Kelly Lock, PA-C | |
|
6450 Folsom Dr, Beaumont, TX 77706-7269 | |
| (409) 835-0524 | |
| (409) 835-0632 |
| Full Name | Kelly Lock |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 6450 Folsom Dr, Beaumont, 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 |
|---|---|---|---|
| 1003828575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA04685 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Doctors Express Of The Beaumont Area Pa | 5698816882 | 211 |
| Entity Name | Allergy & Ent Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902820368 PECOS PAC ID: 4688660715 Enrollment ID: O20040422001617 |
| Entity Name | Doctors Express of the Beaumont Area PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841525235 PECOS PAC ID: 5698816882 Enrollment ID: O20100114000255 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Lock, PA-C 1220 Hillside Ln, Lumberton, TX 77657-9056 Ph: (409) 755-0980 | Kelly Lock, PA-C 6450 Folsom Dr, Beaumont, TX 77706-7269 Ph: (409) 835-0524 |
Victoria Elliott Adams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 87 Interstate 10 N Ste 127, Beaumont, TX 77707 Phone: 409-860-8181 Fax: 409-860-8184 |
Kayla Dominguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2693 North St, Beaumont, TX 77702 Phone: 409-832-8862 Fax: 409-832-1664 |
Mr. Nathan Guy Ferrell, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3650 Laurel St, Beaumont, TX 77707 Phone: 409-838-0346 |
Katherine Demeritt, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3080 College St, Beaumont, TX 77701 Phone: 409-212-5000 |
Frederick Joseph Bebeau, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3460 N. Dowlen Rd, Beaumont, TX 77706 Phone: 409-838-0346 Fax: 409-839-3710 |
Ms. Valerie Johnson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6450 Folsom Dr, Beaumont, TX 77706 Phone: 409-835-0524 Fax: 409-923-1293 |
Mrs. Gina Vandevender, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 810 Hospital Dr, Ste 115, Beaumont, TX 77701 Phone: 409-838-4533 Fax: 409-833-1616 |