| Merciful Ekongmadem Eyongegbe, PA-C | |
|
851 W Terrell Ave, Fort Worth, TX 76104-3161 | |
| (817) 756-7385 | |
| (817) 332-1723 |
| Full Name | Merciful Ekongmadem Eyongegbe |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 851 W Terrell Ave, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629756986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA16986 (Texas) | Primary |
| Entity Name | Vascular and Vein Center, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013173764 PECOS PAC ID: 2668531401 Enrollment ID: O20081107000348 |
| Mailing Address | Practice Location Address |
|---|---|
| Merciful Ekongmadem Eyongegbe, PA-C Po Box 33434, Fort Worth, TX 76162-3434 Ph: (817) 332-8346 | Merciful Ekongmadem Eyongegbe, PA-C 851 W Terrell Ave, Fort Worth, TX 76104-3161 Ph: (817) 756-7385 |
Phillip Steven Woessner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 |
Shane Kelleher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7840 Fax: 682-885-7856 |
Danielle Purcell Lopez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 |
Jaimie Ann Story, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-375-5200 |
Stephanie Cervantes, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 5th Ave Ste 500, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 |
Benjamin Craig, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2500 Fax: 682-885-2510 |
Sharyl Workman, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-1100 |