| Page Tenile Crouch, FNP | |
|
4208 Hillside Dr, Lago Vista, TX 78645-6416 | |
| (512) 567-8461 | |
| Not Available |
| Full Name | Page Tenile Crouch |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4208 Hillside Dr, Lago Vista, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538874334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1095305 (Texas) | Primary |
| Entity Name | Vpa Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
| Mailing Address | Practice Location Address |
|---|---|
| Page Tenile Crouch, FNP 4208 Hillside Dr, Lago Vista, TX 78645-6416 Ph: (512) 567-8461 | Page Tenile Crouch, FNP 4208 Hillside Dr, Lago Vista, TX 78645-6416 Ph: (512) 567-8461 |
Roberto B. D'lorm, GNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4032 Outpost Trce, Lago Vista, TX 78645 Phone: 512-364-8494 Fax: 512-267-1362 | |
Kathleen M. Sullivan, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 20511 Sunset Ln, Lago Vista, TX 78645 Phone: 860-460-1211 Fax: 860-760-6113 | |
Ms. Karin S Fagner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 Lohmans Ford Rd, Unit 25, Lago Vista, TX 78645 Phone: 512-917-1109 | |
Mark W. Weipert, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6502 Lohmans Ford Rd, Lago Vista, TX 78645 Phone: 512-267-3213 | |
Mrs. Shannon Lorraine-konopik Wassel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8808 Bronco Lane, Suite 1, Lago Vista, TX 78645 Phone: 512-267-1877 | |
Courtney Garth, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6502 Lohmans Ford Rd, Lago Vista, TX 78645 Phone: 512-654-3300 |