| Theresa Mccoy, APRN | |
|
410 Paintbrush Trl., Lockhart, TX 78644 | |
| (512) 415-2592 | |
| Not Available |
| Full Name | Theresa Mccoy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 410 Paintbrush Trl., Lockhart, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043916893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 1109871 (Texas) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 1109871 (Texas) | Primary |
| Entity Name | Austin Geriatric Specialists Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376575886 PECOS PAC ID: 5092770511 Enrollment ID: O20041124000120 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Mccoy, APRN 410 Paintbrush Trl., Lockhart, TX 78644 Ph: (512) 415-2592 | Theresa Mccoy, APRN 410 Paintbrush Trl., Lockhart, TX 78644 Ph: (512) 415-2592 |
Caroline Michelle Russell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 S Church St Ste A-b, Lockhart, TX 78644 Phone: 512-376-2999 Fax: 512-376-5562 | |
Suong Thi Van, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S Colorado St, Lockhart, TX 78644 Phone: 512-376-9690 | |
Dorothy A Dean, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Colorado St Ste D, Lockhart, TX 78644 Phone: 512-398-3936 Fax: 833-615-2766 | |
Ms. Kristy Anne Batey, GNP-C, ANP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 S Church St Ste B, Lockhart, TX 78644 Phone: 512-376-2999 Fax: 512-376-5562 | |
Mr. Michael Evan Enriquez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S Colorado St Ste A-d, Lockhart, TX 78644 Phone: 512-398-3936 Fax: 833-615-2766 | |
Veronica Cardenas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Colorado St, Lockhart, TX 78644 Phone: 512-398-3936 |