Raven Modisette (NPI# 1225580293, PAC ID# 5193080067) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1225580293 |
| PAC ID by PECOS | 5193080067 |
| Professional Enrollment ID | I20180523002511 |
| Full Name | Raven Modisette |
| Organization Legal Name | ELITE PSYCHIATRY PC |
| Address |
3901 Arlington Highlands Blvd Suite 200 Arlington TX 76018-6050 |
| Phone Number | 8176955035 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214289388 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3901 Arlington Highlands Blvd, Suite 200, Arlington, TX 76018-6050 | 8176955035 | ELITE PSYCHIATRY PC |
| Organization Legal Name | ELITE PSYCHIATRY PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ayodele A Abraham | Psychiatry | Elite Psychiatry PC | 3901 Arlington Highlands Blvd, Suite 200, Arlington, TX 76018-6050 |
| Street Address |
3901 ARLINGTON HIGHLANDS BLVD SUITE 200 |
| City | ARLINGTON |
| State | TX |
| Zip | 76018-6050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ayodele A Abraham | Psychiatry | Elite Psychiatry PC | 3901 Arlington Highlands Blvd, Suite 200, Arlington, TX 76018-6050 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Jun Hong | Pain Management | Mark A Dirnberger Do Pa | 2001 Se Green Oaks Blvd, Suite 130, Arlington, TX 76018-0952 |
| Jason R Butler | Family Medicine | Mark A Dirnberger Do Pa | 2001 Se Green Oaks Blvd, Suite 130, Arlington, TX 76018-0952 |
| Mark A Dirnberger | Interventional Pain Management | Mark A Dirnberger Do Pa | 2001 Se Green Oaks Blvd, Suite 130, Arlington, TX 76018-0952 |
| Tony Chuong | Internal Medicine | 4860 Matlock Rd, Suite 140, Arlington, TX 76018-1010 | |
| Michael K Combs | Chiropractic | 130 E Bardin Rd, Suite 144, Arlington, TX 76018-1030 | |
| Majd Izzat Jaradat | Nephrology | Ntkc-dfw, Pllc | 4907 S Collins St, Suite 101, Arlington, TX 76018-1106 |
| Ammar Al-laham | Nephrology | Ntkc-dfw, Pllc | 4907 S Collins St, Suite 101, Arlington, TX 76018-1106 |
| Christopher J Norris | Nephrology | Ntkc-dfw, Pllc | 4907 S Collins St, Suite 101, Arlington, TX 76018-1106 |
| Courtney B Devlin | Certified Registered Nurse Anesthetist (crna) | Arlington Anesthesia Group Pllc | 350 E I, 20 Suite 200, Arlington, TX 76018-1119 |
| Mujahid Hines | Ophthalmology | Arlington Ophthalmology Association Pllc | 350 E Interstate 20, Kleiman Evangelista Eye Centers, Arlington, TX 76018-1119 |
| Find all physicians in zip 76018 | |||
| City | ARLINGTON |
| Zip Code | 76018 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ARLINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Raven Modisette.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.