| Mr Bradley Stevens, PA-C | |
|
2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 | |
| (325) 245-4000 | |
| Not Available |
| Full Name | Mr Bradley Stevens |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2141 Hamilton Way, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205899721 | NPI | - | NPPES |
| 8N8582 | Other | TX | BLUE CROSS |
| 182239701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA03638 (Texas) | Primary |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Regional Employee Assistance Program Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bradley Stevens, PA-C 2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 Ph: (325) 245-4000 | Mr Bradley Stevens, PA-C 2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 Ph: (325) 245-4000 |
Lina M Quan-aston, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-659-0180 |
Brandi L Whitehead, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 |
Ms. Natalie Marie Mcdonald, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-481-2231 |
Christopher Padilla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-747-2271 |
Teena Tambunga Dotson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 35 E 31st St, San Angelo, TX 76903 Phone: 325-658-5339 Fax: 325-659-8695 |
Nathan E Smith, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 |
Laura R Chancellor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1610 S Chadbourne St, San Angelo, TX 76903 Phone: 325-658-5339 Fax: 325-947-0101 |