Sara D Eaker
Individual provider Active NPI Physician Assistant · Comanche, TX
NPI 1760049183 · NPPES record last updated May 19, 2022
Key facts
- NPI
- 1760049183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 10201 Highway 16
Comanche, TX 76442-4462 - Phone
- (254) 879-4910
- NPI assigned
- May 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200305001837 | TX | Practitioner - Physician Assistant | 9830526797 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Medical Center Company | Past | Accepting new patients | |
| Comanche County Medical Center Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TX | Yes |
Addresses
Primary practice location
10201 Highway 16
Comanche, TX 76442-4462
Mailing address
10201 Highway 16
Comanche, TX 76442-4462
Phone (254) 879-4910
Other providers in Comanche, TX
- Doctors Medical Center Clinic
- Guyle P Donham
- Dr S Howard Dickey DO PA
- Dr. Raymond W. Stepp, P.C.
- Dwayne C. Miller
- Gary M Easley
- Emily Jeannene Ellis
- Peter G. Fagan
- Faithgracejoy, PLLC
- Gary M Easley, DDS Inc
All providers in Comanche, TX · Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.