| Mrs Thresiamma Idichandy, NURSE PRACTITIONER | |
|
234 W Campbell Rd, Richardson, TX 75080-3512 | |
| (972) 474-3221 | |
| (512) 782-9316 |
| Full Name | Mrs Thresiamma Idichandy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 26 Years |
| Location | 234 W Campbell Rd, Richardson, 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 |
|---|---|---|---|
| 1063422319 | NPI | - | NPPES |
| 4704171067 | Other | MI | REGISTERED NNURSE |
| 1207120 | Other | TX | TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1207120 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 4704171067 (Michigan) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Total Md Physicians Group, Pllc | 7012313521 | 127 |
| Entity Name | Total MD Physicians Group, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982031852 PECOS PAC ID: 7012313521 Enrollment ID: O20210909000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Thresiamma Idichandy, NURSE PRACTITIONER 9618 Peach Tree Ln, Rowlett, TX 75089-8508 Ph: (248) 408-8116 | Mrs Thresiamma Idichandy, NURSE PRACTITIONER 234 W Campbell Rd, Richardson, TX 75080-3512 Ph: (972) 474-3221 |
Simona E Arnautov, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3001 E President George Bush Hwy Ste 175, Richardson, TX 75082 Phone: 214-635-5701 Fax: 844-289-7691 |
Bobbi Bridges, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1164 Commerce Dr, Richardson, TX 75081 Phone: 210-693-5119 |
Mrs. Rugare Mugabe Khosa, APRN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 708 W Spring Valley Rd, Richardson, TX 75080 Phone: 214-570-9400 Fax: 972-792-7268 |
Jamie Lynn Hulm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 399 W Campbell Rd Ste 303, Richardson, TX 75080 Phone: 972-835-1112 |
Caroline Elise Barber, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1129 Southwestern Dr, Richardson, TX 75081 Phone: 972-824-9436 |
Mrs. Nichole Lynette Straughter, MSN,APRN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 N Collins Blvd Ste 607, Richardson, TX 75080 Phone: 800-640-3451 |
Rongna Sun, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 N Collins Blvd Ste 607, Richardson, TX 75080 Phone: 800-640-3451 |