Plastic Surgery Associates PA
A Medicare group practice based in Oklahoma City, OK: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9032361126), with 11 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9032361126
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OK, TX
- Enrollments
- 2
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20121219000212 | TX | Part B Supplier - Clinic/Group Practice | 1588918551 |
| O20190305001609 | OK | Part B Supplier - Clinic/Group Practice | 1821568304 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Plastic Surgery Associates PA
- Plastic and Reconstructive Surgery Physician
- Fort Worth, TX
- NPI 1588918551
-
Plastic Surgery Associates PA
- Plastic Surgery Physician
- Oklahoma City, OK
- NPI 1821568304
Practice locations
- Fort Worth, TX1
- Austin, TX1
- Oklahoma City, OK1
Clinicians 11
Clinicians who reassign their Medicare benefits to this group (11) or whom Care Compare lists as members (8).
-
Hannah Lachelle Bereuter, MPAS, PA-C
- Physician Assistant
- Fort Worth, TX
- NPI 1326423278
-
Sarah A Black, PHYSICIAN ASSISTANT
- Physician Assistant
- Fort Worth, TX
- NPI 1376995829
-
James H. Boehmler IV, M.D.
- Plastic and Reconstructive Surgery Physician
- Fort Worth, TX
- NPI 1578763496
-
Haley Bunting
- Plastic and Reconstructive Surgery Physician
- Austin, TX
- NPI 1609262690
-
John M. Eggleston III, M.D.
- Plastic and Reconstructive Surgery Physician
- Austin, TX
- NPI 1366529216
-
Nabil Anton Habash, MD
- Plastic and Reconstructive Surgery Physician
- Fort Worth, TX
- NPI 1720020878
-
Sarah Michelle Hare, PA-C
- Physician Assistant
- Austin, TX
- NPI 1013556935
-
Juan Carlos Martinez Grullon, M.D.
- Plastic and Reconstructive Surgery Physician
- Fort Worth, TX
- NPI 1154589950
-
Theodore William Nagel, MD
- Plastic and Reconstructive Surgery Physician
- Fort Worth, TX
- NPI 1124287644
-
Thomas Harold Nagel, MD
- Otolaryngology Physician
- Fort Worth, TX
- NPI 1194983684
-
Kari Wicklund, PA-C
- Physician Assistant
- Fort Worth, TX
- NPI 1790196392
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.