| Marcus John Wauson, PA-C | |
|
510 N Hewitt Dr, Hewitt, TX 76643-3038 | |
| (254) 420-5000 | |
| (254) 420-5007 |
| Full Name | Marcus John Wauson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 510 N Hewitt Dr, Hewitt, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346418076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Texas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA05661 (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 | Family Medical Center of Georgetown, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700946118 PECOS PAC ID: 3870564867 Enrollment ID: O20040803001595 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus John Wauson, PA-C Po Box 844658, Dallas, TX 75284-4658 Ph: Not Available | Marcus John Wauson, PA-C 510 N Hewitt Dr, Hewitt, TX 76643-3038 Ph: (254) 420-5000 |
Jessica Louise Licea, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 N Hewitt Dr, Hewitt, TX 76643 Phone: 254-420-5000 Fax: 254-420-5007 |
Micah D Adams, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 N Hewitt Dr, Hewitt, TX 76643 Phone: 254-420-5000 Fax: 254-420-5007 |
Mckayla Grace Campbell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 510 N Hewitt Dr, Hewitt, TX 76643 Phone: 254-420-5000 Fax: 254-420-5007 |