| Mr Jaison Ninan, PA-C | |
|
800 Medical Center Dr Ste C, Decatur, TX 76234-3844 | |
| (940) 626-2110 | |
| Not Available |
| Full Name | Mr Jaison Ninan |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 800 Medical Center Dr Ste C, Decatur, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689244675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA14759 (Texas) | Primary |
| Entity Name | Christine Holland, M.D., P. A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962677740 PECOS PAC ID: 3779658190 Enrollment ID: O20080820000275 |
| Entity Name | Legacy Urgent Care PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
| Entity Name | Texas Center for Urology LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366710196 PECOS PAC ID: 6002076882 Enrollment ID: O20120402000599 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jaison Ninan, PA-C 800 Medical Center Dr, Ste C, Decatur, TX 76234-3844 Ph: (940) 626-2110 | Mr Jaison Ninan, PA-C 800 Medical Center Dr Ste C, Decatur, TX 76234-3844 Ph: (940) 626-2110 |
Mr. Jose L De Leon, P.A.-C. Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 800 Medical Center Dr Ste C, Decatur, TX 76234 Phone: 940-626-2110 |
Travis Andrew Kyle, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1001 W Eagle Dr, Decatur, TX 76234 Phone: 940-442-5209 Fax: 940-222-2720 |
Courtney Diana Kirkland, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2351 S Fm 51 Ste 100, Decatur, TX 76234 Phone: 940-626-8073 Fax: 940-626-8137 |
Linda Marie Schaefer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2010 Ben Merritt Dr, Decatur, TX 76234 Phone: 940-626-2300 Fax: 940-626-2315 |
Caleb Robertson Harbin, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 800 Medical Center Dr Ste C, Decatur, TX 76234 Phone: 940-626-2110 |
Meagan Lynn Bildzukewicz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2014 Ben Merritt Dr Ste A, Decatur, TX 76234 Phone: 940-249-9009 Fax: 940-626-8674 |
Agatha Rae Watson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr Ste C, Decatur, TX 76234 Phone: 940-626-2110 Fax: 940-626-2113 |