| Mrs Paula Lisa Theodosis, RN, FNP-BC | |
|
2005 W Wallace St, San Saba, TX 76877-3928 | |
| (325) 372-5163 | |
| (325) 372-3988 |
| Full Name | Mrs Paula Lisa Theodosis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 15 Years |
| Location | 2005 W Wallace St, San Saba, 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 |
|---|---|---|---|
| 1740565142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 751797 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jordan Health Services | Brownwood, TX | Home health agency |
| Baylor Scott & White Medical Center - Marble Falls | Marble falls, TX | Hospital |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Hospital - Marble Falls | 6901117175 | 31 |
| Entity Name | Scott & White Hospital - Marble Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295397859 PECOS PAC ID: 6901117175 Enrollment ID: O20190926002132 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Paula Lisa Theodosis, RN, FNP-BC Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 215-9924 | Mrs Paula Lisa Theodosis, RN, FNP-BC 2005 W Wallace St, San Saba, TX 76877-3928 Ph: (325) 372-5163 |
Heather Elise Morris, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 W Wallace St, San Saba, TX 76877 Phone: 936-307-0763 | |
Karen R Little, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 403 W Wallace St, San Saba, TX 76877 Phone: 325-372-5701 Fax: 325-372-3249 |