| Marylyn Mitchell, AGACNP-BC | |
|
2120 Broken Shoe Trl, Temple, TX 76502-0085 | |
| (254) 228-6062 | |
| Not Available |
| Full Name | Marylyn Mitchell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 2120 Broken Shoe Trl, Temple, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730707860 | NPI | - | NPPES |
| 1000062 | Other | TX | TEXAS NP LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 1000062 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Granbury Medical Center | Granbury, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Granbury Hospital-based Professional Services | 3971940966 | 37 |
| Entity Name | Hospital Medicine Services Of Tx, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881392363 PECOS PAC ID: 3274998067 Enrollment ID: O20230501001255 |
| Entity Name | Lake Granbury Hb Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043992001 PECOS PAC ID: 6204280779 Enrollment ID: O20231003000017 |
| Entity Name | Lake Granbury Hospital-based Professional Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689443467 PECOS PAC ID: 3971940966 Enrollment ID: O20240326003607 |
| Mailing Address | Practice Location Address |
|---|---|
| Marylyn Mitchell, AGACNP-BC 2120 Broken Shoe Trl, Temple, TX 76502-0085 Ph: (254) 228-6062 | Marylyn Mitchell, AGACNP-BC 2120 Broken Shoe Trl, Temple, TX 76502-0085 Ph: (254) 228-6062 |
Jason Derek Bradshaw, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 S 1st St, Temple, TX 76504 Phone: 254-743-0714 | |
Ms. Misti Liden, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Clinite Grove Blvd Ste 130, Temple, TX 76502 Phone: 254-314-8699 | |
Rodney Duckett, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3605 Melrose Ln, Temple, TX 76502 Phone: 254-598-0240 | |
Kamia Rochelle Scroggins Fasheun, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Samantha Rufaro Makina, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Andrea Patterson, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Mrs. Milicent Cherisse Johnson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, 4b Pediatric Gastroenterology Clinic, Temple, TX 76508 Phone: 254-724-2708 |