| Mrs Marissa Ann Kuykendall, CNM | |
|
928 N Glenwood Blvd, Tyler, TX 75702-5055 | |
| (903) 535-9041 | |
| Not Available |
| Full Name | Mrs Marissa Ann Kuykendall |
|---|---|
| Gender | Female |
| Speciality | Certified Nurse Midwife (cnm) |
| Experience | 6 Years |
| Location | 928 N Glenwood Blvd, Tyler, 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 |
|---|---|---|---|
| 1992356588 | NPI | - | NPPES |
| 1992356588 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | AP143178 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Obhg Texas Holdings Pa | 3577713072 | 93 |
| Entity Name | University Of Texas Southwestern Medical Center At Dallas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942270566 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
| Entity Name | Longview Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
| Entity Name | Obhg Texas Holdings Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Marissa Ann Kuykendall, CNM 5323 Harry Hines Blvd, Dallas, TX 75390-9032 Ph: () - | Mrs Marissa Ann Kuykendall, CNM 928 N Glenwood Blvd, Tyler, TX 75702-5055 Ph: (903) 535-9041 |
Toni Richey, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2231 W Gentry Pkwy, Tyler, TX 75702 Phone: 903-535-9041 Fax: 903-787-5098 | |
Joyce Daniel, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 928 N Glenwood Blvd, Tyler, TX 75702 Phone: 903-535-9041 | |
Alexandra Dionne Kittrell, APRN, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 825 Medical Dr Ste A, Tyler, TX 75701 Phone: 903-758-2610 Fax: 903-758-7081 |