| Stella Mattina Primary Care Inc | |
|
12201 Merit Dr Ste 300 Dallas TX 75251-3139 | |
| (214) 942-3100 | |
| (469) 399-0355 |
| Full Name | Stella Mattina Primary Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12201 Merit Dr Ste 300, Dallas, Texas |
| Authorized Official Name and Position | Dina Noriega (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 4698682990 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stella Mattina Primary Care Inc 12377 Merit Dr Ste 550 Dallas TX 75251-2224 Ph: (469) 868-2990 | Stella Mattina Primary Care Inc 12201 Merit Dr Ste 300 Dallas TX 75251-3139 Ph: (214) 942-3100 |
| NPI Number | 1396568713 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Medicare PECOS PAC ID | 5294257291 |
|---|---|
| Medicare Enrollment ID | O20250319002819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396568713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bruce E Whitehead |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497796585 PECOS PAC ID: 4284658485 Enrollment ID: I20060113000800 |
| Provider Name | Pilar Marie Bescos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730127705 PECOS PAC ID: 3971755463 Enrollment ID: I20121207000381 |
| Provider Name | Iqra Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912528605 PECOS PAC ID: 5395108666 Enrollment ID: I20230905000904 |
| Provider Name | Basilia Berenice Oseguera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275158891 PECOS PAC ID: 7315393865 Enrollment ID: I20231019002879 |
| Provider Name | Sachi Mistry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679193650 PECOS PAC ID: 9830622067 Enrollment ID: I20241028000483 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Mi Familia Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Abounding Prosperity Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Martin Luther King Jr Blvd, Dallas, TX 75215 Phone: 214-421-4800 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Emmanuel Healthcare Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2665 Villa Creek Dr # 180, Dallas, TX 75234 Phone: 469-567-9974 |