| Molly Elizabeth Black, APRN | |
|
9017 W State Highway 29 Ste 205, Liberty Hill, TX 78642-2424 | |
| (512) 537-2177 | |
| Not Available |
| Full Name | Molly Elizabeth Black |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9017 W State Highway 29 Ste 205, Liberty Hill, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730736976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1106669 (Texas) | Primary |
| Entity Name | Millennium Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Elizabeth Black, APRN 9017 W State Highway 29 Ste 205, Liberty Hill, TX 78642-2424 Ph: (512) 537-2177 | Molly Elizabeth Black, APRN 9017 W State Highway 29 Ste 205, Liberty Hill, TX 78642-2424 Ph: (512) 537-2177 |
Katie Haines, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12701 W State Highway 29 Ste 5, Liberty Hill, TX 78642 Phone: 512-548-5373 | |
Kristen Alpert, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12701 W State Highway 29, Liberty Hill, TX 78642 Phone: 512-548-5373 | |
Mrs. Patricia Andrea Tan Montierth, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Majestic Way, Liberty Hill, TX 78642 Phone: 559-972-6183 | |
Mrs. Gayle Lynn Barre, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 229 Sarahs Ln, Liberty Hill, TX 78642 Phone: 512-694-6397 | |
Melissa Schuman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Copper Lily Dr, Liberty Hill, TX 78642 Phone: 949-257-3501 | |
Mr. Promise Okeh, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 Calmo Ct, Liberty Hill, TX 78642 Phone: 512-987-7730 | |
Jesse Opela, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Saint Joseph Ct Ste 320, Liberty Hill, TX 78642 Phone: 512-277-0676 Fax: 737-250-7650 |