| Genesis Gynecology Pa | |
|
176 Fairway Dr Kerrville TX 78028-6437 | |
| (830) 792-0805 | |
| (830) 792-0833 |
| Full Name | Genesis Gynecology Pa |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 176 Fairway Dr, Kerrville, Texas |
| Authorized Official Name and Position | Kerri Lee Truelock (PRESIDENT) |
| Authorized Official Contact | 8307920805 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Gynecology Pa 176 Fairway Dr Kerrville TX 78028-6437 Ph: (830) 792-0805 | Genesis Gynecology Pa 176 Fairway Dr Kerrville TX 78028-6437 Ph: (830) 792-0805 |
| NPI Number | 1174792733 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 03/13/2013 |
| Medicare PECOS PAC ID | 2062582638 |
|---|---|
| Medicare Enrollment ID | O20080609000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174792733 | NPI | - | NPPES |
| 0083RB | Other | TX | BCBS OF TEXAS GROUP # |
| 193308701 | Medicaid | TX |
| Provider Name | Kerri L Truelock |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750344883 PECOS PAC ID: 4587609060 Enrollment ID: I20050624000485 |
| Provider Name | Kelly Pelton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356347868 PECOS PAC ID: 8224181193 Enrollment ID: I20090727000026 |
| Provider Name | Lori Gayle Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316413255 PECOS PAC ID: 8123362381 Enrollment ID: I20181129001624 |
Kerrville Mec, Lp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 723 Hill Country Dr Ste C, Kerrville, TX 78028 Phone: 830-792-5800 Fax: 830-792-5848 | |
Scoccia Medical Services, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 707 Hill Country Dr, Ste 106, Kerrville, TX 78028 Phone: 830-896-0404 Fax: 830-896-4343 | |
Pain Care Clinics, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 Hill Country Dr Ste 301, Kerrville, TX 78028 Phone: 830-792-4805 Fax: 830-792-4883 | |
Lisa Rouse, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 707 Hill Country Dr Ste 106, Kerrville, TX 78028 Phone: 830-896-0404 Fax: 830-896-4343 | |
Chris Williams, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 936 Junction Hwy, Suite F, Kerrville, TX 78028 Phone: 830-895-5510 Fax: 214-722-1545 | |
Richard Johnson Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Water St Ste 300, Kerrville, TX 78028 Phone: 830-257-5500 |