| Mr Donald Roseberry, PA-C | |
|
1339 S Broadway St, Sulphur Springs, TX 75482-4895 | |
| (903) 951-1001 | |
| (903) 951-1004 |
| Full Name | Mr Donald Roseberry |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 1339 S Broadway St, Sulphur Springs, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033585468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10116 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 0 (Texas) | Primary |
| 363A00000X | Physician Assistant | 2789 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Paradigm Homecare | Tyler, TX | Home health agency |
| Vitalcaring Group | Sulphur springs, TX | Home health agency |
| Christus Mother Frances Hospital- Winnsboro | Winnsboro, TX | Hospital |
| Christus Mother Frances Hospital Sulphur Springs | Sulphur springs, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic Texas | 3072426741 | 1540 |
| Mother Frances Hospital-winnsboro | 4183510944 | 2 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital-winnsboro |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598091555 PECOS PAC ID: 4183510944 Enrollment ID: O20040226001225 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Donald Roseberry, PA-C 2001 N Jefferson Ave, Attn: Don Roseberry, Mount Pleasant, TX 75455-2338 Ph: (903) 577-6000 | Mr Donald Roseberry, PA-C 1339 S Broadway St, Sulphur Springs, TX 75482-4895 Ph: (903) 951-1001 |
Adrian Denise Childress, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 |
Greg Barrett, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 105 Medical Plz, Sulphur Springs, TX 75482 Phone: 903-885-3181 Fax: 903-885-1329 |
Mrs. Chandra Deel Oud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482 Phone: 903-438-1110 Fax: 903-438-1107 |
Lara Jennifer Beverly, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1339 S Broadway St, Sulphur Springs, TX 75482 Phone: 903-951-1001 |
Kalee Kirk, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 105 Medical Plz, Sulphur Springs, TX 75482 Phone: 903-885-3181 Fax: 903-885-1329 |
Kelly Margaret Webb, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 Airport Rd Ste 140, Sulphur Springs, TX 75482 Phone: 903-582-4424 Fax: 903-582-4423 |
Monica Foote Ward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1339 S Broadway St, Sulphur Springs, TX 75482 Phone: 903-951-1001 |