| Ms Miranda Jalene Pool, PHYSICIAN ASSISTANT | |
|
676 Fm 517 Rd W, Dickinson, TX 77539-3904 | |
| (713) 482-4535 | |
| Not Available |
| Full Name | Ms Miranda Jalene Pool |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 676 Fm 517 Rd W, Dickinson, 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 |
|---|---|---|---|
| 1649425091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA09942 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 63151 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Privia Medical Group Gulf Coast Pllc | 4688999022 | 511 |
| Entity Name | Privia Medical Group Gulf Coast PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Miranda Jalene Pool, PHYSICIAN ASSISTANT 676 Fm 517 Rd W, Dickinson, TX 77539-3904 Ph: Not Available | Ms Miranda Jalene Pool, PHYSICIAN ASSISTANT 676 Fm 517 Rd W, Dickinson, TX 77539-3904 Ph: (713) 482-4535 |
Joann Chacko Samuel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2251 Fm 646 Rd W Ste 155, Dickinson, TX 77539 Phone: 281-614-2445 |
Mr. Richard Clayton Golightly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 676 Fm 517 Rd W, Dickinson, TX 77539 Phone: 713-482-4535 Fax: 713-482-4560 |
Nancy W Lounds, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3800 Baker Dr, Gator Aid Hope Sbc, Dickinson, TX 77539 Phone: 281-229-6257 Fax: 281-229-6414 |
Joslyn Julia Fairwell, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 676 Farm To Market 517 W, Dickinson, TX 77539 Phone: 713-482-4535 |
Mrs. Maria I. Celis, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 417 Pecan Grv, Dickinson, TX 77539 Phone: 409-770-7470 |
Daesha R Hendrickson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1455 Fm 646 Rd W Ste 202, Dickinson, TX 77539 Phone: 832-738-1710 |
Mrs. Sarah Ali, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 676 Fm 517 Rd W, Dickinson, TX 77539 Phone: 713-482-4535 |