| Kirsten Perricone, APRN | |
|
9516 Fm 1097 Rd W Ste 140, Willis, TX 77318-4976 | |
| (936) 539-4004 | |
| (936) 224-4205 |
| Full Name | Kirsten Perricone |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9516 Fm 1097 Rd W Ste 140, Willis, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528678406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 839693 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1021328 (Texas) | Primary |
| Entity Name | Jacinto Medical Group P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265474597 PECOS PAC ID: 1951215045 Enrollment ID: O20031113000403 |
| Entity Name | Texas A&m University System Health Science Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851918700 PECOS PAC ID: 6709241300 Enrollment ID: O20230504001415 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Perricone, APRN Po Box 220, Grapeland, TX 75844-0220 Ph: () - | Kirsten Perricone, APRN 9516 Fm 1097 Rd W Ste 140, Willis, TX 77318-4976 Ph: (936) 539-4004 |
Talin Cusato, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12189 Thompson Rd, Willis, TX 77318 Phone: 240-481-4446 | |
Jason Solita De Guzman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12717 Interstate 45 N Ste 300, Willis, TX 77318 Phone: 936-228-7598 | |
Tara Draehn, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9851 Fm 1097 Rd W Ste 120, Willis, TX 77318 Phone: 936-890-8000 Fax: 833-973-0788 | |
Lauren Rebecca Moore, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14900 Constellation Cir W, Willis, TX 77318 Phone: 832-381-4505 | |
Mrs. Jennifer Elise Padilla, FNP - C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10292 Fm 1097 Rd W, Willis, TX 77318 Phone: 281-370-1122 | |
Barton James Halbaedier, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11700 Calvary Rd, Willis, TX 77318 Phone: 936-494-5624 | |
Amber Elise Castleschouldt, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10672 Fm 1097 Rd W, Willis, TX 77318 Phone: 936-259-2038 |