| Lilly Michael, PA-C | |
|
9180 Pinecroft Dr Ste 500, Shenandoah, TX 77380-3883 | |
| (713) 897-5900 | |
| Not Available |
| Full Name | Lilly Michael |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 9180 Pinecroft Dr Ste 500, Shenandoah, Texas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457775645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA08941 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Heart Care Of Grand Prairie, Llc | 9638549884 | 6 |
| Legacy Heartcare Of Dallas, Llc | 6305029653 | 22 |
| Legacy Heart Care Of North Dallas Llc | 9931571544 | 11 |
| Entity Name | University of Texas Southwestern Medical Center at Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Legacy Urgent Care PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
| Entity Name | Legacy Heartcare of Dallas, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144520503 PECOS PAC ID: 6305029653 Enrollment ID: O20110323000595 |
| Entity Name | Legacy Heart Care of Fort Worth, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730120908 PECOS PAC ID: 2860677341 Enrollment ID: O20110427000208 |
| Entity Name | Legacy Heart Care of San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285057935 PECOS PAC ID: 9830316645 Enrollment ID: O20140818002280 |
| Entity Name | Legacy Heart Care of South Austin, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346768892 PECOS PAC ID: 0446526925 Enrollment ID: O20171027002344 |
| Entity Name | Legacy Heart Care of Midtown Austin, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356869804 PECOS PAC ID: 3577829886 Enrollment ID: O20171102000107 |
| Entity Name | Legacy Heart Care of Grand Prairie, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174252837 PECOS PAC ID: 9638549884 Enrollment ID: O20230104000019 |
| Entity Name | Legacy Heart Care of North Dallas LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265150205 PECOS PAC ID: 9931571544 Enrollment ID: O20230208001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Lilly Michael, PA-C 7521 Cedar Elm Dr, Irving, TX 75063-8421 Ph: (214) 517-9771 | Lilly Michael, PA-C 9180 Pinecroft Dr Ste 500, Shenandoah, TX 77380-3883 Ph: (713) 897-5900 |
Brooke Nicole Baldwin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8845 Six Pines Dr Ste 100, Shenandoah, TX 77380 Phone: 281-203-5115 |
Andrew Norato, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8845 Six Pines Dr Ste 200, Shenandoah, TX 77380 Phone: 281-440-5300 |
Sarah Sage Tharnstrom, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9180 Pinecroft Dr Ste 500, Shenandoah, TX 77380 Phone: 713-897-5900 |
Vivian Mundo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 134 Vision Park Blvd Ste 300, Shenandoah, TX 77384 Phone: 281-296-8500 |
Elizabeth Jean Maloney, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9180 Pinecroft Dr Ste 500, Shenandoah, TX 77380 Phone: 718-897-5900 |
Elaina Wickman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 134 Vision Park Blvd Ste 100, Shenandoah, TX 77384 Phone: 936-242-1437 |
Alana Nicole Wilson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9200 Pinecroft Dr, Suite 460, Shenandoah, TX 77380 Phone: 281-853-5308 Fax: 281-377-1946 |