| Kelly J Eisaman, NPC | |
|
3060 Communications Pkwy Ste 100, Plano, TX 75093-8450 | |
| (972) 312-0607 | |
| (972) 312-0805 |
| Full Name | Kelly J Eisaman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 22 Years |
| Location | 3060 Communications Pkwy Ste 100, Plano, 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 |
|---|---|---|---|
| 1730163593 | NPI | - | NPPES |
| 8N9199 | Other | TX | BLUE CROSS PROV NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP114213 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vitalcaring Group | Sulphur springs, TX | Home health agency |
| Texas Health Presbyterian Hospital Plano | Plano, TX | Hospital |
| Baylor Scott & White Institute For Rehabilitation | Dallas, TX | Inpatient rehabilitation facility |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Green Oaks Physical Therapy Limited Partnership | 4688582141 | 208 |
| Texas Health Physicians Group | 4385535954 | 1364 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174573596 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly J Eisaman, NPC 9250 Amberton Pkwy, Dallas, TX 75243-3224 Ph: (214) 860-6300 | Kelly J Eisaman, NPC 3060 Communications Pkwy Ste 100, Plano, TX 75093-8450 Ph: (972) 312-0607 |
Wendy Renee Foster, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Preston Park Blvd, Suite 1450, Plano, TX 75093 Phone: 469-800-4540 Fax: 469-800-4541 |
Mrs. Cristina James, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3021 Harkness Dr, Plano, TX 75093 Phone: 214-674-0626 |
Melissa Coltman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 500, Plano, TX 75093 Phone: 972-941-3100 Fax: 844-292-1461 |
Mrs. Caroline Kesterson, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4708 Alliance Blvd Ste 550, Plano, TX 75093 Phone: 469-800-6140 |
Mrs. Margie Carol Crews, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4001 W 15th St, Suite 180, Plano, TX 75093 Phone: 972-867-5300 Fax: 972-867-5301 |
Saeed Niyati, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Coit Rd, Suite 206, Plano, TX 75075 Phone: 972-612-4999 |
Ms. Tonya Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5944 W Parker Rd, Plano, TX 75093 Phone: 214-522-4640 |