| Simba K Muketiwa, | |
|
104 Parkhurst Lane, Allen, TX 75013 | |
| (469) 688-3437 | |
| Not Available |
| Full Name | Simba K Muketiwa |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 104 Parkhurst Lane, Allen, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407232341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | AP129372 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott And White Medical Center Mckinney | Mc kinney, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthtexas Provider Network | 1355254210 | 2048 |
| 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 | Serge Lartchenko M.d., Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508199621 PECOS PAC ID: 1850432311 Enrollment ID: O20100105000773 |
| Entity Name | Dallas Pulmonary & Critical Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235402728 PECOS PAC ID: 2163679200 Enrollment ID: O20120824000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Simba K Muketiwa, 104 Parkhurst Lane, Allen, TX 75013 Ph: (469) 688-3437 | Simba K Muketiwa, 104 Parkhurst Lane, Allen, TX 75013 Ph: (469) 688-3437 |
Viola Mbise, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Century Pkwy Ste 250, Allen, TX 75013 Phone: 281-966-5558 | |
Susie Kim Ahn, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1105 Central Expy N Ste 2240, Allen, TX 75013 Phone: 866-607-2308 | |
Lindsay A Little, PA-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Raintree Cir Ste 250, Allen, TX 75013 Phone: 972-649-6644 Fax: 469-854-6224 | |
Mrs. Susan Rene' Baker, APRN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 N Alma Dr Ste 300, Allen, TX 75013 Phone: 972-720-3333 Fax: 469-730-4009 | |
Mireya Liss, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 E Bethany Dr Ste J130, Allen, TX 75002 Phone: 972-741-0484 | |
Robin Kathleen Klein, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Raintree Cir Ste 130, Allen, TX 75013 Phone: 214-537-0703 | |
Sandra Young, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 981 State Highway 121 Ste 1140, Allen, TX 75013 Phone: 469-697-5100 Fax: 469-697-5105 |