| Kelly Don Whaley, | |
|
5220 Se Loop 286, Paris, TX 75460 | |
| (903) 401-8349 | |
| (903) 680-8050 |
| Full Name | Kelly Don Whaley |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 5220 Se Loop 286, Paris, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548749245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP138972 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | AP138972 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anson General Hospital | Anson, TX | Hospital |
| Methodist Midlothian Medical Center | Midlothian, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Medical Group Pllc | 0446296818 | 189 |
| Texas Physician Resources, Llp | 7012161375 | 91 |
| Ess Of Nacogdoches Llc | 3375821630 | 27 |
| Emergency Associates Of Central Texas Pa | 6800147216 | 32 |
| Concord Medical Group Of Texas Pllc | 7810117223 | 319 |
| Entity Name | Primamed Physicians, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164494068 PECOS PAC ID: 9234027897 Enrollment ID: O20040316000446 |
| 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 | 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 | 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 | Texas Physician Resources, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639413289 PECOS PAC ID: 7012161375 Enrollment ID: O20130214000159 |
| Entity Name | Texas Medicine Resources, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| 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 | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Concord North Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20160429000472 |
| Entity Name | Ess of Nacogdoches LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780139956 PECOS PAC ID: 3375821630 Enrollment ID: O20161021000335 |
| Entity Name | Emergency Associates of Central Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215418280 PECOS PAC ID: 6800147216 Enrollment ID: O20180925001294 |
| Entity Name | Small Hospital Innovations LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184040560 PECOS PAC ID: 0840415444 Enrollment ID: O20220124000512 |
| Entity Name | Citra Physician Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750016333 PECOS PAC ID: 3476938671 Enrollment ID: O20220923000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Don Whaley, 3515 Richmond Rd, Texarkana, TX 75503-0711 Ph: (903) 791-9355 | Kelly Don Whaley, 5220 Se Loop 286, Paris, TX 75460 Ph: (903) 401-8349 |
Elda Rae Francis, CFNP-RN-MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1775 Fm 195, Paris, TX 75462 Phone: 903-739-2700 Fax: 903-739-9731 |
Teresa Trabert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3550 Ne Loop 286, Paris, TX 75460 Phone: 903-785-0031 Fax: 903-784-6755 |
Debra Donette George, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3550 Ne Loop 286, Paris, TX 75460 Phone: 903-785-0031 Fax: 903-784-6755 |
Brooke Nicole Rea, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 865 Deshong Dr, Paris, TX 75460 Phone: 903-737-1165 |
Elisha Mccall-preston, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3150 Clarksville St, Suite 100, Paris, TX 75460 Phone: 903-782-9206 Fax: 903-783-7367 |
Elise Ann Gray, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 S Collegiate Dr, Paris, TX 75460 Phone: 903-785-8857 |
Karey Dale Asay, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 604 Lamar Ave, Paris, TX 75460 Phone: 903-706-5141 |