| Susie Kim Ahn, FNP | |
|
1105 Central Expy N Ste 2240, Allen, TX 75013-6114 | |
| (866) 607-2308 | |
| Not Available |
| Full Name | Susie Kim Ahn |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 24 Years |
| Location | 1105 Central Expy N Ste 2240, Allen, Texas |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003816232 | NPI | - | NPPES |
| 173668801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 712630 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Heart Care Of Fort Worth, Llc | 2860677341 | 12 |
| Legacy Heartcare Of Dallas, Llc | 6305029653 | 22 |
| Legacy Heart Care Of Grand Prairie, Llc | 9638549884 | 6 |
| Legacy Heart Care Of North Dallas Llc | 9931571544 | 11 |
| Entity Name | Legacy Heartcare of Dallas, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144520503 PECOS PAC ID: 6305029653 Enrollment ID: O20110323000595 |
| Entity Name | Legacy Heart Care of Fort Worth, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730120908 PECOS PAC ID: 2860677341 Enrollment ID: O20110427000208 |
| Entity Name | Legacy Heart Care of San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285057935 PECOS PAC ID: 9830316645 Enrollment ID: O20140818002280 |
| Entity Name | Legacy Heart Care of South Austin, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346768892 PECOS PAC ID: 0446526925 Enrollment ID: O20171027002344 |
| Entity Name | Legacy Heart Care of Midtown Austin, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356869804 PECOS PAC ID: 3577829886 Enrollment ID: O20171102000107 |
| Entity Name | Legacy Heart Care of Grand Prairie, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174252837 PECOS PAC ID: 9638549884 Enrollment ID: O20230104000019 |
| Entity Name | Legacy Heart Care of North Dallas LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265150205 PECOS PAC ID: 9931571544 Enrollment ID: O20230208001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Susie Kim Ahn, FNP Po Box 570492, Dallas, TX 75357-0492 Ph: (562) 714-8609 | Susie Kim Ahn, FNP 1105 Central Expy N Ste 2240, Allen, TX 75013-6114 Ph: (866) 607-2308 |
Viola Mbise, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Century Pkwy Ste 250, Allen, TX 75013 Phone: 281-966-5558 |
Mrs. Dawn Marie Morgan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 825 Watters Creek Blvd Ste 205c, Allen, TX 75013 Phone: 469-496-5699 Fax: 469-496-5383 |
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: Accepting Medicare Assignments Practice Location: 333 E Bethany Dr Ste J130, Allen, TX 75002 Phone: 972-741-0484 |
Brittany Delaney, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 S Watters Rd Ste 142, Allen, TX 75013 Phone: 214-888-6656 Fax: 469-319-2084 |
Robin Kathleen Klein, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1101 Raintree Cir Ste 130, Allen, TX 75013 Phone: 214-537-0703 |