| Kimberlee Mack, PA-C | |
|
590 Medical Center Road, Fort Cavazos, TX 76544 | |
| (915) 591-2704 | |
| (915) 225-0413 |
| Full Name | Kimberlee Mack |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 590 Medical Center Road, Fort Cavazos, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396284592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA11188 (Texas) | Primary |
| Entity Name | Salud Y Vida, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043287287 PECOS PAC ID: 9830115229 Enrollment ID: O20051014000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberlee Mack, PA-C 36000 Darnall Loop, Fort Hood, TX 76544-5095 Ph: Not Available | Kimberlee Mack, PA-C 590 Medical Center Road, Fort Cavazos, TX 76544 Ph: (915) 591-2704 |
Agnieszka Maslanka, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-288-8000 |
Jennifer Anne Malashevitz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 937-902-6474 |
Lindsay Marie Martin, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76549 Phone: 541-324-4325 |
Michael Jiovanni Elliott, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 420 Legends Way, Bennett Clinic, Fort Cavazos, TX 76544 Phone: 254-285-5624 Fax: 254-618-8135 |
Joseph Robert Taylor, MPAS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Carl R. Darnall Army Medical Center, 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-618-8040 |
Leslie Ann Marie Flournoy, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1776 Battalion Avenue, Fort Cavazos, TX 76544 Phone: 254-618-8782 |
Mrs. Jessica Lynn Schmidt, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-287-5410 |