| Lisa Ann Kerich, PA | |
|
5204 Colleyville Boulevard, Colleyville, TX 76034 | |
| (817) 369-3300 | |
| (817) 581-6127 |
| Full Name | Lisa Ann Kerich |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 5204 Colleyville Boulevard, Colleyville, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316977234 | NPI | - | NPPES |
| 803N51 | Other | TX | BCBS |
| 1023145 | Other | TX | NCCPA |
| P00956844 | Other | TX | RAILROAD |
| 205392801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00181 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| W W Hastings Indian Hospital | Tahlequah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Century Integrated Partners, Inc | 6406151703 | 330 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ann Kerich, PA 5204 Colleyville Boulevard, Colleyville, TX 76034 Ph: (817) 369-3300 | Lisa Ann Kerich, PA 5204 Colleyville Boulevard, Colleyville, TX 76034 Ph: (817) 369-3300 |
Samantha Elizabeth Pritchett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4301 Brown Trl, Colleyville, TX 76034 Phone: 817-281-8275 |
Ngoc Diep Thi Nguyen, MPAS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3901 Treemont Cir, Colleyville, TX 76034 Phone: 972-975-0079 |
Donna J Olson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3901 Treemont Cir, Colleyville, TX 76034 Phone: 682-738-8079 Fax: 817-394-2278 |
Blake Allen Neeley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4218 Gateway Dr Ste 100, Colleyville, TX 76034 Phone: 817-283-1860 Fax: 817-283-2175 |
Ms. Nicole Correia Gussis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1004 Saddlebrook Dr, Colleyville, TX 76034 Phone: 214-227-2457 Fax: 214-764-0880 |
Christine Read, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 Veranda Ln, Suite 100, Colleyville, TX 76034 Phone: 817-581-6100 |
Kelly Aileen Fenimore-gonzales, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5207 Heritage Ave, Colleyville, TX 76034 Phone: 817-355-8000 Fax: 817-391-1070 |