Suzanne Ellison (NPI# 1285620211, PAC ID# 5294798195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1285620211 |
PAC ID by PECOS | 5294798195 |
Professional Enrollment ID | I20041111000334 |
Full Name | Suzanne Ellison |
Organization Legal Name | FREDERICKSBURG FAMILY CLINIC PA |
Address |
200 W Windcrest St Fredericksburg TX 78624-4408 |
Phone Number | 8309920330 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
Graduation Year | 1980 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 1254433550 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450604 | HILL COUNTRY MEMORIAL HOSPITAL INC |
450007 | PETERSON REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
815 Front St, Comfort, TX 78013-2626 | 8309955633 | FREDERICKSBURG FAMILY CLINIC PA |
200 W Windcrest St, Fredericksburg, TX 78624-4408 | 8309920330 | FREDERICKSBURG FAMILY CLINIC PA |
Organization Legal Name | FREDERICKSBURG FAMILY CLINIC PA |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
John P Ramsay | Family Medicine | Fredericksburg Family Clinic Pa | 815 Front St, Comfort, TX 78013-2626 |
Nancy M Rickerhauser | Family Medicine | Fredericksburg Family Clinic Pa | 815 Front St, Comfort, TX 78013-2626 |
Patricia L Scott | Nurse Practitioner | Fredericksburg Family Clinic Pa | 815 Front St, Comfort, TX 78013-2626 |
Karen G Cornett | Family Medicine | Fredericksburg Family Clinic Pa | 815 Front St, Comfort, TX 78013-2626 |
Kelle Jean Pardi | Nurse Practitioner | Fredericksburg Family Clinic Pa | 815 Front St, Comfort, TX 78013-2626 |
Matthew J Hoermann | Family Medicine | Fredericksburg Family Clinic Pa | 815 Front St, Comfort, TX 78013-2626 |
Erika Broslat Benfield | Nurse Practitioner | Fredericksburg Family Clinic Pa | 815 Front St, Comfort, TX 78013-2626 |
Kristi A Stafford | Family Medicine | Fredericksburg Family Clinic Pa | 815 Front St, Comfort, TX 78013-2626 |
Street Address |
200 W WINDCREST ST |
City | FREDERICKSBURG |
State | TX |
Zip | 78624-4408 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ryan C Young | Ophthalmology | Austin Retina Associates | 1102 N Llano St, Suite A, Fredericksburg, TX 78624-0234 |
Alfred C Roschmann | Diagnostic Radiology | Hill Country Imaging Associates Pa | 1020 Kerrville Hwy, Fredericksburg, TX 78624-0835 |
Kelly Jean Muirhead-arledge | Physical Therapy | Frank T. Mills | 1102 W Travis St, Fredericksburg, TX 78624-2244 |
Alice G Hahn | Physical Therapy | Frank T. Mills | 1102 W Travis St, Fredericksburg, TX 78624-2244 |
Carol F Johnson | Physical Therapy | Frank T. Mills | 1102 W Travis St, Fredericksburg, TX 78624-2244 |
Frank T Mills | Physical Therapy | Frank T. Mills | 1102 W Travis St, Fredericksburg, TX 78624-2244 |
Kristin K Mckinnon | Physical Therapy | Frank T. Mills | 1102 W Travis St, Fredericksburg, TX 78624-2244 |
Melinda Ann Burnett-mills | Physical Therapy | Frank T. Mills | 1102 W Travis St, Fredericksburg, TX 78624-2244 |
Yvonne Haug | Family Medicine | Mid-texas Health Care Assn., P.a. | 1305 N Milam St, Fredericksburg, TX 78624-2752 |
Paul Phillips Iii | Orthopedic Surgery | 1305 N Milam St, Fredericksburg, TX 78624-2752 | |
Find all physicians in zip 78624 |
City | FREDERICKSBURG |
Zip Code | 78624 |
Specialty | FAMILY PRACTICE |
City + Specialty | FREDERICKSBURG + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Suzanne Ellison.
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.