| Sally Dyan Reese, NP | |
|
630 W 34th St Ste 301, Austin, TX 78705-1217 | |
| (512) 212-4670 | |
| (512) 233-5830 |
| Full Name | Sally Dyan Reese |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 630 W 34th St Ste 301, Austin, 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 |
|---|---|---|---|
| 1538463559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP119703 (Texas) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | AP13118 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carma Health, Pllc | 8123350527 | 9 |
| Entity Name | Concho Valley Center For Human Advancement |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164479192 PECOS PAC ID: 7719936533 Enrollment ID: O20050119000856 |
| Entity Name | Coastal Health & Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871766584 PECOS PAC ID: 0143215954 Enrollment ID: O20110624000285 |
| Entity Name | Aline C Zeringue Acns-bc, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154782829 PECOS PAC ID: 4880984566 Enrollment ID: O20160608002163 |
| Entity Name | Carma Health, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760917785 PECOS PAC ID: 8123350527 Enrollment ID: O20191105001412 |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Dyan Reese, NP 902 Crystal Falls Pkwy, Leander, TX 78641-3646 Ph: (512) 259-2222 | Sally Dyan Reese, NP 630 W 34th St Ste 301, Austin, TX 78705-1217 Ph: (512) 212-4670 |
Emily Allen Beddingfield, ACNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 7000 N Mo Pac Expy. Ste. 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Susanne Morris, AGCNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 4101 James Casey St Ste 100, Austin, TX 78745 Phone: 512-447-2202 Fax: 512-447-5337 | |
Ryan Webb, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 12731 Research Blvd Ste B200, Austin, TX 78759 Phone: 512-407-4088 | |
Mafon Fomujang, NURSE PRACTITIONER Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 2911 Medical Arts St Ste 10, Austin, TX 78705 Phone: 866-473-0663 | |
Ms. Macy Elizabeth Banfield, APRN, AGCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 901 W Ben White Blvd, Austin, TX 78704 Phone: 512-447-2211 | |
Carole L George, MSN, BC-ACNS, CDE Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 6500 N Mo Pac Expy, Bldg. 3, Suite 200, Austin, TX 78731 Phone: 512-458-8400 Fax: 512-458-8593 | |
Mrs. Mary Ann Marcella Miranda, APRN, AHCNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 3200 W Slaughter Ln, C/o West Oaks Rehabilitation And Healthcare Center, Austin, TX 78748 Phone: 512-992-7836 Fax: 512-364-0654 |