| Kristopher Ryan Kohout, | |
|
1115 E Tyler St, Athens, TX 75751-2145 | |
| (903) 292-5015 | |
| (903) 292-5021 |
| Full Name | Kristopher Ryan Kohout |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1115 E Tyler St, Athens, 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 |
|---|---|---|---|
| 1164032355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17918 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dcs Medical Pa | 0042507600 | 155 |
| Value Urgent Care Clinics Of Texas Pllc | 4082997861 | 4 |
| Dcs Medical Pa | 0042507600 | 155 |
| Entity Name | Dcs Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285082768 PECOS PAC ID: 0042507600 Enrollment ID: O20160926000390 |
| Entity Name | Value Urgent Care Clinics of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558811083 PECOS PAC ID: 4082997861 Enrollment ID: O20170202001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristopher Ryan Kohout, Po Box 95559, Grapevine, TX 76099-9707 Ph: (405) 724-0574 | Kristopher Ryan Kohout, 1115 E Tyler St, Athens, TX 75751-2145 Ph: (903) 292-5015 |
Mrs. Jennifer Ann Mahmoud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 S Palestine St, Athens, TX 75751 Phone: 903-677-3737 Fax: 903-677-6014 |
Erica Janae Lunsford, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1115 E Tyler St, Athens, TX 75751 Phone: 903-292-5015 Fax: 903-292-5021 |
Mrs. Vanessa Laws, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1123 S Palestine St Ste 300, Athens, TX 75751 Phone: 903-939-7500 |
Paul Timothy Morelli, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1701 South Palestine, Suite A, Athens, TX 75751 Phone: 903-675-9339 Fax: 903-675-9344 |
Kirk F Gautier, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 805 S Palestine St, Athens, TX 75751 Phone: 903-534-6200 Fax: 903-939-0755 |
Kaylie Alexandra Temporal, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 824 Southpark Cir, Athens, TX 75752 Phone: 903-675-7376 Fax: 903-677-4234 |