| Lisa Ferguson, | |
|
3203 S Main St, Lindale, TX 75771-7727 | |
| (903) 882-0991 | |
| Not Available |
| Full Name | Lisa Ferguson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3203 S Main St, Lindale, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760885198 | NPI | - | NPPES |
| P01408022 | Other | TX | RAILROAD MEDICARE |
| 341244701 | Medicaid | TX | |
| 8759NL | Other | TX | BCBS |
| 75-2616977-028 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP126466 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Ferguson, Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Lisa Ferguson, 3203 S Main St, Lindale, TX 75771-7727 Ph: (903) 882-0991 |
Sarah K Brezina, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 807 Sweetgum Ln, Lindale, TX 75771 Phone: 903-752-2843 | |
Rachael L. Phillips, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15945 Regian Dr, Lindale, TX 75771 Phone: 713-417-3927 | |
Jessica Renee Johnson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1379 Brad Cir, Lindale, TX 75771 Phone: 903-881-5165 | |
Ms. Lakimberely Shajuan Wooten, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 N Main St, Lindale, TX 75771 Phone: 903-882-3194 Fax: 903-882-7405 | |
Miranda Nechol Sims, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3203 S Main St, Lindale, TX 75771 Phone: 903-266-4000 | |
Shannon Finklea, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11454 Fm 2710, Lindale, TX 75771 Phone: 903-805-1615 | |
Brandon Keith Van Deman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2808 S Main St, Lindale, TX 75771 Phone: 903-881-5799 |