| Punnam Stephan, APRN, FNP-C | |
|
123 Autumn Sage Dr, Wylie, TX 75098-3815 | |
| (972) 532-6214 | |
| Not Available |
| Full Name | Punnam Stephan |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 123 Autumn Sage Dr, Wylie, 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 |
|---|---|---|---|
| 1104245984 | NPI | - | NPPES |
| 3401879-04 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP125397 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott And White Medical Center Lake Pointe | Rowlett, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthtexas Provider Network | 1355254210 | 2048 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Mailing Address | Practice Location Address |
|---|---|
| Punnam Stephan, APRN, FNP-C 123 Autumn Sage Dr, Wylie, TX 75098-3815 Ph: (972) 532-6214 | Punnam Stephan, APRN, FNP-C 123 Autumn Sage Dr, Wylie, TX 75098-3815 Ph: (972) 532-6214 |
Kathryn Rheanne Taylor, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3208 Blue Haven Way, Wylie, TX 75098 Phone: 469-955-7976 | |
Dr. Cynthia Michelle Bertrand, DNP, APRN, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1708 Rushing Way, Wylie, TX 75098 Phone: 972-415-9234 | |
Samantha Feig, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Memorial Dr, Wylie, TX 75098 Phone: 214-326-2617 | |
Ann Agbor, APRN-CNP, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Lantana Ln, Wylie, TX 75098 Phone: 214-908-4483 | |
Mrs. Justina Ada Okeke, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 318 Lake Wichita Dr, Wylie, TX 75098 Phone: 972-429-5280 | |
Maureen Niego, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1302 Shadow Hills Dr, Wylie, TX 75098 Phone: 469-328-4758 |