| Sutha M Fernando, | |
|
2760 E Trinity Mills Rd Ste 115, Carrollton, TX 75006-2194 | |
| (214) 949-1209 | |
| Not Available |
| Full Name | Sutha M Fernando |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 2760 E Trinity Mills Rd Ste 115, Carrollton, 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 |
|---|---|---|---|
| 1093255580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP133138 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Immanuel Family Clinic Pllc | 5698101517 | 2 |
| Entity Name | Immanuel Family Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265072490 PECOS PAC ID: 5698101517 Enrollment ID: O20200212000700 |
| Mailing Address | Practice Location Address |
|---|---|
| Sutha M Fernando, 2760 E Trinity Mills Rd Ste 115, Carrollton, TX 75006-2194 Ph: (214) 949-1209 | Sutha M Fernando, 2760 E Trinity Mills Rd Ste 115, Carrollton, TX 75006-2194 Ph: (214) 949-1209 |
Esther Wangari Mungai, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4100 Fairway Dr Ste 620, Carrollton, TX 75010 Phone: 972-492-9901 Fax: 972-492-9902 | |
Poonam Misra, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4325 N Josey Lane, Carrollton, TX 75010 Phone: 469-574-2022 | |
Mrs. Brooke Johnson Conant, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4221 Medical Pkwy Ste 250, Carrollton, TX 75010 Phone: 972-492-0333 | |
Stella Apari, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3740 N Josey Ln Ste 213, Carrollton, TX 75007 Phone: 214-810-5543 Fax: 469-200-5277 | |
Betty Reyes-restrepo, MSN, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4333 N Josey Ln Ste 100, Carrollton, TX 75010 Phone: 469-459-8899 | |
Jeannette George, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212 N Josey Ln Ste 110, Carrollton, TX 75006 Phone: 469-294-1402 | |
Anabelle Rose Montague, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2233 Washington Dr, Carrollton, TX 75010 Phone: 469-386-0669 |