| Mr Jason Graham Dexter, NP | |
|
120 E Harris Ave, San Angelo, TX 76903-5904 | |
| (325) 657-5222 | |
| Not Available |
| Full Name | Mr Jason Graham Dexter |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 120 E Harris Ave, San Angelo, 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 |
|---|---|---|---|
| 1316196827 | NPI | - | NPPES |
| TEMP 696743 | Other | TX | APN LICENSE |
| 838N77 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 696743 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Medical Center | San angelo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Graham Dexter, NP 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 747-6741 | Mr Jason Graham Dexter, NP 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 657-5222 |
Maegin M Carlile, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165 | |
Tammie L Robinson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2165 | |
Mrs. Tina Faye Luck, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36 E Twohig Ave Ste 1100, San Angelo, TX 76903 Phone: 325-658-6524 Fax: 325-658-8895 | |
Kate Elizabeth Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-747-2104 | |
Kristen Renee Owen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4251 Sunset Dr, San Angelo, TX 76904 Phone: 325-481-2226 | |
Mrs. Roxanne Elkins Timm, WHCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E. Harris, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 | |
Oralia B Saldivar, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 271 Fort Richardson Ave Us 17th Medical Group, Goodfellow Afb, San Angelo, TX 76908 Phone: 325-654-3138 Fax: 325-654-3093 |