| Mark Wilson Clancy, PA | |
|
110 Highway 290 W, Brenham, TX 77833-9165 | |
| (979) 830-5584 | |
| (979) 277-7100 |
| Full Name | Mark Wilson Clancy |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 110 Highway 290 W, Brenham, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609507334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17808 (Texas) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Accentcare Home Health Of College Station | College station, TX | Home health agency |
| Chi St Joseph Health Regional Hospital | Bryan, TX | Hospital |
| Bellville Medical Center | Bellville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Regional Health Center | 5294727921 | 141 |
| Entity Name | St Joseph Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669557179 PECOS PAC ID: 5294727921 Enrollment ID: O20040401000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Wilson Clancy, PA 110 Highway 290 W, Brenham, TX 77833-9165 Ph: (979) 830-5584 | Mark Wilson Clancy, PA 110 Highway 290 W, Brenham, TX 77833-9165 Ph: (979) 830-5584 |
Katherine Elizabeth Alford, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 N Park St, Brenham Clinic, Brenham, TX 77833 Phone: 979-830-0508 |
Mr. Mark Dwayne Asmussen, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-836-6153 Fax: 979-277-9074 |
Jessica Lynn Gemina Mohr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-337-5800 |
Michelle E Kuhn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 604 Highway 290 W, Brenham, TX 77833 Phone: 979-421-2000 |
Kristen Marie Meaders, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-337-5800 Fax: 979-277-9074 |
Paul D Wenzlawsh, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-830-0530 Fax: 979-830-0559 |
Mrs. Linda Laubach Aldama, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2431 Stringer St, Brenham, TX 77833 Phone: 979-421-6300 Fax: 979-421-6618 |