| Santa Badeg Sisay, | |
|
4545 Fuller Dr Ste 325, Irving, TX 75038-6530 | |
| (972) 870-5511 | |
| (972) 870-5512 |
| Full Name | Santa Badeg Sisay |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 4545 Fuller Dr Ste 325, Irving, 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 |
|---|---|---|---|
| 1033857073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 1088909 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 2021160672 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amatus Health Care Llc | Farmers branch, TX | Home health agency |
| Texoma Medical Center | Denison, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vpa Of Texas Pllc | 7618911660 | 67 |
| Ies Central Texas Pllc | 3476922576 | 33 |
| Level One Emergency Physicians Llc | 7810371044 | 29 |
| 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 | Texas Physician Resources, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639413289 PECOS PAC ID: 7012161375 Enrollment ID: O20130214000159 |
| Entity Name | Pediatric Emergency Medicine Group, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629448535 PECOS PAC ID: 9931409943 Enrollment ID: O20151124000478 |
| Entity Name | Level One Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528790193 PECOS PAC ID: 7810371044 Enrollment ID: O20220907000904 |
| Entity Name | Ies Central Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Badeg Sisay, 1605 E Wells Branch Pkwy, Pflugerville, TX 78660-3993 Ph: (571) 235-9932 | Santa Badeg Sisay, 4545 Fuller Dr Ste 325, Irving, TX 75038-6530 Ph: (972) 870-5511 |
Bilkish Chunara, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2021 N Macarthur Blvd, Ste 210, Irving, TX 75061 Phone: 972-253-4370 Fax: 972-823-6407 |
Mrs. Tien Vu, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6750 N Macarthur Blvd Ste 211, Irving, TX 75039 Phone: 214-647-1533 |
Jilly John, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6363 N State Highway 161 Ste 100, Irving, TX 75038 Phone: 469-200-3272 |
Chelsea Jean Hawkins, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 W Airport Fwy Ste 450, Irving, TX 75062 Phone: 469-726-4402 |
Andrea Nicole Fernandez, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 S Irving Heights Dr, Irving, TX 75060 Phone: 972-579-7979 |
Esther Boro, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N Belt Line Rd Ste 201, Irving, TX 75061 Phone: 214-631-9992 |
Shereen Raju Varughese, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 909 Hidden Rdg Ste 300, Irving, TX 75038 Phone: 844-388-6541 Fax: 844-452-8151 |