| Visavis Health Care Medical Group Of Tx Pllc | |
|
4401 College Dr Vernon TX 76384-4004 | |
| (877) 210-2373 | |
| Not Available |
| Full Name | Visavis Health Care Medical Group Of Tx Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4401 College Dr, Vernon, Texas |
| Authorized Official Name and Position | Irina Yuffa (VP PATIENT CARE SERVICES AND SUCCES) |
| Authorized Official Contact | 8772102373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visavis Health Care Medical Group Of Tx Pllc 1481 Mcdonald Ave Brooklyn NY 11230-4667 Ph: () - | Visavis Health Care Medical Group Of Tx Pllc 4401 College Dr Vernon TX 76384-4004 Ph: (877) 210-2373 |
| NPI Number | 1518779792 |
|---|---|
| Provider Enumeration Date | 01/23/2025 |
| Last Update Date | 01/23/2025 |
| Medicare PECOS PAC ID | 7012437437 |
|---|---|
| Medicare Enrollment ID | O20250227003681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518779792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mariya Tankimovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386937514 PECOS PAC ID: 3375715055 Enrollment ID: I20111003000463 |
| Provider Name | Derek Harpole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235771874 PECOS PAC ID: 3779914965 Enrollment ID: I20201203000713 |
| Provider Name | Ugochi Azubuike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447746938 PECOS PAC ID: 8224438932 Enrollment ID: I20230103000519 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20230426002541 |
| Provider Name | Bridgett Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629580519 PECOS PAC ID: 3375931702 Enrollment ID: I20240229000809 |
| Provider Name | Frances Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417016999 PECOS PAC ID: 5597734194 Enrollment ID: I20240326003119 |
| Provider Name | Natali Roldan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366225724 PECOS PAC ID: 3173987088 Enrollment ID: I20240408000384 |
| Provider Name | Arianna Hope Sanborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225508203 PECOS PAC ID: 6709123722 Enrollment ID: I20241230001766 |
| Provider Name | Tiffany M Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659819944 PECOS PAC ID: 0941578058 Enrollment ID: I20250128002690 |
| Provider Name | Victoria Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528623188 PECOS PAC ID: 1456730902 Enrollment ID: I20250228001004 |
| Provider Name | Elizabeth Miranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356870257 PECOS PAC ID: 4789954652 Enrollment ID: I20250228001135 |
| Provider Name | Heriberto Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093312480 PECOS PAC ID: 8123430253 Enrollment ID: I20250228001287 |
| Provider Name | Julia Didesiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20250228001411 |
| Provider Name | Renee Conn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043824451 PECOS PAC ID: 4284044553 Enrollment ID: I20250228001499 |
| Provider Name | Rebekka Lindamood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447912134 PECOS PAC ID: 3173919529 Enrollment ID: I20250305001390 |
Kevin Lane Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4103 Wilbarger St, Vernon, TX 76384 Phone: 940-553-2140 Fax: 940-553-1739 | |
North Central Texas Community Health Care Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2015 Yamparika St, Vernon, TX 76384 Phone: 940-766-6306 | |
Wilbarger County Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 College Dr, Vernon, TX 76384 Phone: 940-553-2892 Fax: 940-553-2893 | |
Texas Rose Family Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 Pease St Ste 208, Vernon, TX 76384 Phone: 940-553-7036 Fax: 940-553-7056 | |
Bryant Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Main St, Vernon, TX 76384 Phone: 940-553-7092 Fax: 940-553-7095 | |
Jessie D. Hicks, D.o.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4301 College Dr Rm 800, Vernon, TX 76384 Phone: 940-552-9323 Fax: 940-552-9328 | |
North Central Texas Community Health Care Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4301 College Dr Rm 600, Vernon, TX 76384 Phone: 940-766-6306 Fax: 940-766-6504 |