| Susan St Onge, FNP | |
|
107 Cedar Dr, Portland, TX 78374 | |
| (361) 643-6623 | |
| Not Available |
| Full Name | Susan St Onge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 107 Cedar Dr, Portland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609930023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 598821 (Texas) | Primary |
| Entity Name | Jerome Lee Sang Md, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194889105 PECOS PAC ID: 8123005543 Enrollment ID: O20040702000962 |
| Entity Name | Conviva Medical Center Management Of Texas, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770988990 PECOS PAC ID: 8729302278 Enrollment ID: O20150112000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan St Onge, FNP 107 Cedar Dr, Portland, TX 78374 Ph: () - | Susan St Onge, FNP 107 Cedar Dr, Portland, TX 78374 Ph: (361) 643-6623 |
Micah Flores, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137 | |
Mrs. Samantha Jo Wright, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 616 Elm St, Portland, TX 78374 Phone: 361-977-2059 Fax: 361-977-2047 | |
Amber Leia Waggoner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 Fax: 361-758-2137 | |
Marka Jane Dredla, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 277 Buddy Ganem Dr Ste A, Portland, TX 78374 Phone: 361-777-3900 Fax: 361-413-0274 | |
Matthew Kern, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Northshore Blvd, Portland, TX 78374 Phone: 361-480-0334 | |
Mrs. Gloria Perales Solis, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1500 Wildcat Dr Ste C, Portland, TX 78374 Phone: 361-643-9800 Fax: 361-643-5112 | |
Kerrie Hogin Baker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2413 Memorial Pkwy, Portland, TX 78374 Phone: 361-643-4546 |