| Mrs Katheryn Green, NP | |
|
533 Pecos St, Chandler, TX 75758-9444 | |
| (903) 849-5173 | |
| (903) 849-2818 |
| Full Name | Mrs Katheryn Green |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 533 Pecos St, Chandler, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891734489 | NPI | - | NPPES |
| 177762501 | Medicaid | TX | |
| 630050 | Other | TX | NURSE PRACTITIONER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 630050 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Special Health Resources For Texas, Incorporated | 1355326158 | 9 |
| East Texas Infectious Disease Consultants, Pllc | 7911001375 | 5 |
| Entity Name | East Texas Infectious Disease Consultants, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912907353 PECOS PAC ID: 7911001375 Enrollment ID: O20070326000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katheryn Green, NP 533 Pecos St, Chandler, TX 75758-9444 Ph: (903) 849-5173 | Mrs Katheryn Green, NP 533 Pecos St, Chandler, TX 75758-9444 Ph: (903) 849-5173 |
Dana Ann Carns, DNP APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 State Highway 31 E, Chandler, TX 75758 Phone: 903-849-3862 Fax: 903-849-4965 | |
Mrs. Starla Rose Reed, APRN FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 21455 Waterfront Dr, Chandler, TX 75758 Phone: 808-218-9696 | |
Lori Folden, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 Martin St, Chandler, TX 75758 Phone: 903-316-5149 | |
Sami Malae Harris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 State Highway 31 E, Chandler, TX 75758 Phone: 903-849-3862 Fax: 903-849-4965 |