| Mr Jeremiah C Brack, PA-C | |
|
4370 Medical Arts Dr Ste 230, Flower Mound, TX 75028-1748 | |
| (972) 956-8181 | |
| (972) 956-8181 |
| Full Name | Mr Jeremiah C Brack |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 4370 Medical Arts Dr Ste 230, Flower Mound, 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 |
|---|---|---|---|
| 1366835068 | NPI | - | NPPES |
| PA12666 | Other | TX | TEXAS MEDICAL BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA12666 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Presbyterian Hospital Flower Mound | Flower mound, TX | Hospital |
| Medical City Denton | Denton, TX | Hospital |
| North Texas Medical Center | Gainesville, TX | Hospital |
| Muenster Memorial Hospital | Muenster, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arlington Neurosurgeons, Pllc | 8022333582 | 46 |
| Entity Name | Arlington Neurosurgeons, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609285170 PECOS PAC ID: 8022333582 Enrollment ID: O20150205000073 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremiah C Brack, PA-C 6020 W Parker Rd Ste 200, Plano, TX 75093-8172 Ph: (972) 608-5000 | Mr Jeremiah C Brack, PA-C 4370 Medical Arts Dr Ste 230, Flower Mound, TX 75028-1748 Ph: (972) 956-8181 |
Joshua Patterson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5401 Long Prairie Rd Ste 100, Flower Mound, TX 75028 Phone: 972-691-9190 Fax: 972-691-3841 |
Rossalya Aracely Granda Gutierrez, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3101 Churchill Dr Ste 100, Flower Mound, TX 75022 Phone: 210-582-5304 Fax: 210-582-5307 |
Kathryn Mariel Breithaupt, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3051 Churchill Dr Ste 100, Flower Mound, TX 75022 Phone: 817-632-2336 Fax: 214-556-9030 |
Mrs. Tamra Dee Srianant, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4101 Kirkpatrick Ln, Flower Mound, TX 75028 Phone: 214-513-2300 |
Lisa Nguyen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1100 Flower Mound Rd, Flower Mound, TX 75028 Phone: 972-874-8421 Fax: 972-874-8467 |
Jamie Hawoon Kwak, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3051 Churchill Dr Ste 130, Flower Mound, TX 75022 Phone: 972-539-0086 Fax: 972-355-9680 |
Lauren M Hughes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3321 Yucca Dr Ste 100, Flower Mound, TX 75028 Phone: 972-505-2551 Fax: 972-521-3240 |