| Meredith Logan Hagstrom, | |
|
5406 Wesley St, Greenville, TX 75402-6311 | |
| (903) 355-2110 | |
| Not Available |
| Full Name | Meredith Logan Hagstrom |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 5406 Wesley St, Greenville, 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 |
|---|---|---|---|
| 1477242345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dcs Medical Pa | 0042507600 | 155 |
| Entity Name | Dcs Medical PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285082768 PECOS PAC ID: 0042507600 Enrollment ID: O20160926000390 |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith Logan Hagstrom, 405 Covington Cv, Princeton, TX 75407-3024 Ph: Not Available | Meredith Logan Hagstrom, 5406 Wesley St, Greenville, TX 75402-6311 Ph: (903) 355-2110 |
Miss Sherby Patrice Holloway, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4311 Wesley St, Greenville, TX 75401 Phone: 903-455-5958 Fax: 903-454-4514 |
Abigail Duncan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2327 E Beach Dr, Greenville, TX 75402 Phone: 903-413-0919 |
Deanna Grandstaff, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3900 Joe Ramsey Blvd E, Bldg #7, Greenville, TX 75401 Phone: 903-455-5654 |
Brayden Zachary Neff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5101 Wellington St Unit A, Greenville, TX 75402 Phone: 903-408-7768 Fax: 903-408-7769 |
Riley Parker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4501 Joe Ramsey Blvd E Ste 100, Greenville, TX 75401 Phone: 903-408-5800 Fax: 903-455-8232 |
Paul Laval Puckett, PAC Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 4215 Joe Ramsey Blvd, Greenville, TX 75403 Phone: 903-408-5000 Fax: 214-712-2487 |
Courtney E. Tyson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4211 Joe Ramsey Blvd E, Suite 100, Greenville, TX 75401 Phone: 903-408-7700 Fax: 903-408-7810 |