| Mrs Lacy Mcmillon, APRN, FNP-C, ENP-C | |
|
910 12th St Ste A, Bandera, TX 78003-3463 | |
| (210) 455-6253 | |
| Not Available |
| Full Name | Mrs Lacy Mcmillon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 910 12th St Ste A, Bandera, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316321748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP128554 (Texas) | Primary |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | South Texas Nurse Practitioner Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013383801 PECOS PAC ID: 1254614977 Enrollment ID: O20170203000311 |
| Entity Name | Dispatchhealth-texas P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649787896 PECOS PAC ID: 5395006035 Enrollment ID: O20180221000735 |
| Entity Name | 830 Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649972043 PECOS PAC ID: 2668830894 Enrollment ID: O20230621001383 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lacy Mcmillon, APRN, FNP-C, ENP-C 477 Lariat Trace, Bandera, TX 78003 Ph: (903) 576-5677 | Mrs Lacy Mcmillon, APRN, FNP-C, ENP-C 910 12th St Ste A, Bandera, TX 78003-3463 Ph: (210) 455-6253 |
Christine Lyn Lerback, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 359 Private Road 1512, Bandera, TX 78003 Phone: 316-207-1331 | |
Mrs. Tiffany Kay Headrick, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1050 Hwy 16 S, Bandera, TX 78003 Phone: 830-426-6299 | |
Emily-ann Lauren Mathis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 Hwy 16 S, Bandera, TX 78003 Phone: 830-796-7713 | |
Joy Perez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4333 Hwy 16 S # 400, Bandera, TX 78003 Phone: 830-264-8210 | |
Susan K Grigsby, RN, MSN, NP-C, CHPN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1050 Hwy 16 S, Bandera, TX 78003 Phone: 830-796-7713 Fax: 830-796-7744 | |
Jeanie K Heidelberg, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4333 Hwy 16 S Ste 400, Bandera, TX 78003 Phone: 830-264-8210 |