| Mrs Mable Pankaj, AGNP & WHNP | |
|
1534 N Hampton Rd Ste 100, Desoto, TX 75115-2493 | |
| (682) 405-1934 | |
| (866) 803-8759 |
| Full Name | Mrs Mable Pankaj |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1534 N Hampton Rd Ste 100, Desoto, 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 |
|---|---|---|---|
| 1639592926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 633575 (Texas) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 633575 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beulah Family Clinic Professional Limited Liability Company | 3779924048 | 3 |
| Entity Name | Hephzibah Visiting Clinicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083101075 PECOS PAC ID: 1254688641 Enrollment ID: O20180717000196 |
| Entity Name | Beulah Family Clinic Professional Limited Liability Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750144150 PECOS PAC ID: 3779924048 Enrollment ID: O20240517000448 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mable Pankaj, AGNP & WHNP 1534 N Hampton Rd Ste 100, Desoto, TX 75115-2493 Ph: (682) 405-1934 | Mrs Mable Pankaj, AGNP & WHNP 1534 N Hampton Rd Ste 100, Desoto, TX 75115-2493 Ph: (682) 405-1934 |
Emelda Olisaeke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 941 York Dr, Desoto, TX 75115 Phone: 972-283-6286 | |
Gabriel Nkwanyuo, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 941 York Dr Ste 201, Desoto, TX 75115 Phone: 682-200-4272 Fax: 682-719-4099 | |
Margaret Uyai Okon, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1670 N Hampton Rd, Suite 100, Desoto, TX 75115 Phone: 972-228-3678 | |
Lori Elizabeth Secerovic, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1111 South Interstate 35 East, Desoto, TX 75115 Phone: 469-341-7800 | |
Smart Nwachukwu, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 341 Crystal Lake Dr, Desoto, TX 75115 Phone: 214-872-0280 | |
Chiamaka Amanda Orizu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 935 York Dr, Desoto, TX 75115 Phone: 930-232-4376 | |
Evelyne N Epie, APRN, FNP-BC, WCS-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 941 York Dr Ste 201, Desoto, TX 75115 Phone: 682-200-4272 Fax: 682-719-4099 |