| Mr Hector Medellin Iii, APRN | |
|
6014 County Road 4068, Kemp, TX 75143-2600 | |
| (903) 603-4322 | |
| Not Available |
| Full Name | Mr Hector Medellin Iii |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 6014 County Road 4068, Kemp, 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 |
|---|---|---|---|
| 1497355929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1015900 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health And Human Services Commission | 2163795824 | 105 |
| Entity Name | Allan J Mccorkle Mdpa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477719292 PECOS PAC ID: 9537233978 Enrollment ID: O20080804000479 |
| Entity Name | Health And Human Services Commission |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
| Entity Name | Cedar Creek Wellness Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922648310 PECOS PAC ID: 5890125231 Enrollment ID: O20200424002949 |
| Entity Name | Ultacare Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225141492 PECOS PAC ID: 4789687484 Enrollment ID: O20210720000196 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Hector Medellin Iii, APRN 6014 County Road 4068, Kemp, TX 75143-2600 Ph: (903) 603-4322 | Mr Hector Medellin Iii, APRN 6014 County Road 4068, Kemp, TX 75143-2600 Ph: (903) 603-4322 |
Stephanie Lynn Chandler, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11705 County Road 2140, Kemp, TX 75143 Phone: 903-802-2188 | |
Mrs. Abigail Truely Taylor, AG-ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8295 County Road 4029, Kemp, TX 75143 Phone: 765-585-2411 |