| Marka Jane Dredla, | |
|
277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 | |
| (361) 777-3900 | |
| (361) 413-0274 |
| Full Name | Marka Jane Dredla |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 277 Buddy Ganem Dr Ste A, Portland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154949600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F06201250 (Texas) | Primary |
| Entity Name | Nluc PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518209113 PECOS PAC ID: 3072752302 Enrollment ID: O20130618000619 |
| Entity Name | Unified Womens Healthcare of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952703373 PECOS PAC ID: 4385944230 Enrollment ID: O20151124002729 |
| Entity Name | Next Level MV LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013432285 PECOS PAC ID: 5991062085 Enrollment ID: O20171128000837 |
| Entity Name | West Coast Wound and Skin Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437675980 PECOS PAC ID: 7315212834 Enrollment ID: O20221026000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Marka Jane Dredla, 277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 Ph: (361) 777-3900 | Marka Jane Dredla, 277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 Ph: (361) 777-3900 |
Micah Flores, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137 |
Victoria Joan Curtiss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 443 Houston St, Portland, TX 78374 Phone: 361-977-2059 Fax: 361-977-2047 |
Mrs. Samantha Jo Wright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 443 Houston St, Portland, TX 78374 Phone: 361-977-2059 Fax: 361-977-2047 |
Jose F Santiago, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 443 Houston St, Portland, TX 78374 Phone: 361-977-2059 |
Amber Leia Waggoner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137 |
Matthew Kern, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Northshore Blvd, Portland, TX 78374 Phone: 361-480-0334 |
Andrea Dawn Hartquist, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 Cedar Dr, Portland, TX 78374 Phone: 361-643-6623 Fax: 361-643-6964 |