| Larisa Zolnerovich, PA-C | |
|
300 University Blvd Bldg A, Round Rock, TX 78665-1032 | |
| (512) 509-0200 | |
| (512) 509-2229 |
| Full Name | Larisa Zolnerovich |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 300 University Blvd Bldg A, Round Rock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477364388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA18967 (Texas) | Primary |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Memorial Hermann Hospital Based Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295363497 PECOS PAC ID: 4385075480 Enrollment ID: O20200505001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Larisa Zolnerovich, PA-C Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Larisa Zolnerovich, PA-C 300 University Blvd Bldg A, Round Rock, TX 78665-1032 Ph: (512) 509-0200 |
Hirut Nicodimos, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 |
Elizabeth D Bishop, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7200 Wyoming Spgs, Ste 300, Round Rock, TX 78681 Phone: 512-244-2273 Fax: 512-244-3179 |
Donna Marie Prokop-fettig, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 Sam Bass Rd, Round Rock, TX 78681 Phone: 512-388-1861 Fax: 512-388-0373 |
Jerrad Michael Stoddard, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2410 Round Rock Ave Ste 150, Round Rock, TX 78681 Phone: 512-341-8724 Fax: 512-687-0295 |
Shelby E Wasil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 Fax: 512-244-2895 |
Christopher Carl Hanson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16020 Park Valley Dr, Round Rock, TX 78681 Phone: 512-244-0766 |
Caitlyn Baker, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 Little Oak Way, Round Rock, TX 78681 Phone: 512-255-8868 |