| Susan Mims, | |
|
2500 N Esplanade St, Suite 101, Cuero, TX 77954-4723 | |
| (361) 275-2381 | |
| Not Available |
| Full Name | Susan Mims |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 2500 N Esplanade St, Cuero, 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 |
|---|---|---|---|
| 1124473616 | NPI | - | NPPES |
| 365219001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cuero Home Health Inc | Cuero, TX | Home health agency |
| Cuero Regional Hospital | Cuero, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dewitt Medical District | 3072421395 | 32 |
| Entity Name | Dewitt Medical District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366532608 PECOS PAC ID: 3072421395 Enrollment ID: O20031202000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Mims, 2500 N Esplanade St, Ste 102, Cuero, TX 77954-4727 Ph: (361) 275-2381 | Susan Mims, 2500 N Esplanade St, Suite 101, Cuero, TX 77954-4723 Ph: (361) 275-2381 |
Nelda Huber, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2500 N Esplanade St, Ste 101, Cuero, TX 77954 Phone: 361-275-2381 Fax: 361-275-2431 |
Troy W Lischka, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1109 E Broadway St, Cuero, TX 77954 Phone: 361-275-2800 Fax: 361-275-8791 |