| Mrs Kristine Jane Kucera, PA | |
|
3041 Washington Drive, Suite 400, Melissa, TX 75454-1004 | |
| (469) 581-0599 | |
| (469) 581-0598 |
| Full Name | Mrs Kristine Jane Kucera |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 31 Years |
| Location | 3041 Washington Drive, Melissa, 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 |
|---|---|---|---|
| 1699970368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01491 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bare Derm Group Inc | 3274903307 | 16 |
| Entity Name | Oliver Street 5.01(a) Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
| Entity Name | Bare Derm Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053029348 PECOS PAC ID: 3274903307 Enrollment ID: O20230105001326 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristine Jane Kucera, PA 2736 Wagonwheel Dr, Carrollton, TX 75006-4756 Ph: (972) 955-8855 | Mrs Kristine Jane Kucera, PA 3041 Washington Drive, Suite 400, Melissa, TX 75454-1004 Ph: (469) 581-0599 |
Savannah Silvestry, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 230 W Melissa Rd Apt 2011, Melissa, TX 75454 Phone: 512-577-3951 |
Jenifer L Branson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3591 Mckinney St Ste 100, Melissa, TX 75454 Phone: 469-468-9999 Fax: 972-981-3600 |
Mr. Alfred Douglas, DMSC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3591 Mckinney St, Melissa, TX 75454 Phone: 972-464-1611 |