| Martha Davis, PA | |
|
538 Broadway, Winnie, TX 77665-7600 | |
| (409) 296-6000 | |
| (409) 296-6326 |
| Full Name | Martha Davis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 538 Broadway, Winnie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376618736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA00635 (Texas) | Primary |
| Entity Name | Excel Urgent Care, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013965797 PECOS PAC ID: 9133146780 Enrollment ID: O20051102000217 |
| Entity Name | Apex Urgent Care Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114302551 PECOS PAC ID: 3971804188 Enrollment ID: O20151214000138 |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Davis, PA Po Box 488, Simonton, TX 77476-0488 Ph: (713) 582-0217 | Martha Davis, PA 538 Broadway, Winnie, TX 77665-7600 Ph: (409) 296-6000 |
Sherry Lynn Stern, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-9505 Fax: 409-296-2506 |
Mr. Danny Lee Thompson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-9505 Fax: 409-296-6397 |
Hilari Beth Berklund, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6000 |
Mrs. Rebecca Louise Blackwell, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-9505 Fax: 409-296-2506 |
Kacey White Flores, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2584 State Highway 124, Winnie, TX 77665 Phone: 409-296-4444 |
Ms. Maria Guadalupe Sanchez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-6351 Fax: 409-263-6386 |
Mr. Milton Evans Willis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 538 Broadway, Winnie, TX 77665 Phone: 409-296-9505 Fax: 409-296-2506 |