| Fredericksburg Family Clinic Pa | |
|
815 Front St Comfort TX 78013 | |
| (830) 995-5633 | |
| Not Available |
| Full Name | Fredericksburg Family Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 815 Front St, Comfort, Texas |
| Authorized Official Name and Position | Cathy Donahy (OFFICE MANAGER) |
| Authorized Official Contact | 8309970330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericksburg Family Clinic Pa 514 W Windcrest St Fredericksburg TX 78624-4633 Ph: (830) 997-0330 | Fredericksburg Family Clinic Pa 815 Front St Comfort TX 78013 Ph: (830) 995-5633 |
| NPI Number | 1053464982 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 08/25/2022 |
| Medicare PECOS PAC ID | 1254433550 |
|---|---|
| Medicare Enrollment ID | O20070216000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053464982 | NPI | - | NPPES |
| 0009QH | Other | TX | BCBSTX |
| 189877703 | Medicaid | TX | |
| DG7779 | Other | TX | MEDICARE RAILROAD |
| 189877702 | Other | TX | MEDICAID EPSDT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karen G Cornett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376538223 PECOS PAC ID: 7315937117 Enrollment ID: I20040513001549 |
| Provider Name | John P Ramsay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053306704 PECOS PAC ID: 4284697095 Enrollment ID: I20041111000507 |
| Provider Name | Kristi A Stafford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962497610 PECOS PAC ID: 0143322446 Enrollment ID: I20070918000281 |
| Provider Name | Matthew J Hoermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790770634 PECOS PAC ID: 7416059712 Enrollment ID: I20080221000136 |
| Provider Name | Nancy M Rickerhauser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245225135 PECOS PAC ID: 5395805915 Enrollment ID: I20081126000477 |
| Provider Name | Erika Broslat Benfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902156524 PECOS PAC ID: 9537318878 Enrollment ID: I20121002000727 |
| Provider Name | Kelle Jean Pardi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548535636 PECOS PAC ID: 1456683036 Enrollment ID: I20191031001149 |
| Provider Name | Keilah M Barton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659931962 PECOS PAC ID: 5496137200 Enrollment ID: I20220726002823 |
John P Ramsay Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Front St, Comfort, TX 78013 Phone: 830-995-5633 | |
Karen G Cornett Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Front St, Comfort, TX 78013 Phone: 830-995-5633 Fax: 830-995-5654 | |
Sue E. Crow, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 Front Street, Comfort, TX 78013 Phone: 830-995-5633 Fax: 830-995-5654 |