| Olivia Donata Ciccone, PA-C | |
|
304 N Mitchell Rd, Mansfield, TX 76063-3449 | |
| (682) 422-9950 | |
| Not Available |
| Full Name | Olivia Donata Ciccone |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 304 N Mitchell Rd, Mansfield, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578355533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Entity Name | Divinetouch Medical Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346998713 PECOS PAC ID: 8628465333 Enrollment ID: O20220428000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Donata Ciccone, PA-C 304 N Mitchell Rd, Mansfield, TX 76063-3449 Ph: Not Available | Olivia Donata Ciccone, PA-C 304 N Mitchell Rd, Mansfield, TX 76063-3449 Ph: (682) 422-9950 |
Mrs. Brittany Rachael Desantiago, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 682-518-8619 Fax: 682-518-8195 |
Mrs. Trupti Patel, PA-CC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1011 Matlock Rd, Mansfield, TX 76063 Phone: 817-225-6888 Fax: 817-377-6570 |
Joshua Dewayne Wright, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 806-447-5311 Fax: 806-447-3090 |
Ms. Tzietal Gail Davidson, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1601 E Debbie Ln, Suite 2109, Mansfield, TX 76063 Phone: 817-453-8620 Fax: 817-473-9126 |
Olha Elorreaga, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2801 E Broad St, Mansfield, TX 76063 Phone: 817-375-5200 |
Jeanette Lopez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063 Phone: 682-341-3910 |
Miss Ashlee Elaine Braziel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2700 E Broad St, Mansfield, TX 76063 Phone: 682-242-6470 |