Suzanne Ellison
FREDERICKSBURG FAMILY CLINIC PA


Address: 200 W Windcrest St, Fredericksburg, TX 78624-4408
Phone: 8309920330

Suzanne Ellison (NPI# 1285620211, PAC ID# 5294798195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

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

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450604 HILL COUNTRY MEMORIAL HOSPITAL INC
450007 PETERSON REGIONAL MEDICAL CENTER

Other Locations

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 Information

Organization Legal Name FREDERICKSBURG FAMILY CLINIC PA
Physicians 9

Physicians with the same organization

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

Office Location

Street Address 200 W WINDCREST ST
City FREDERICKSBURG
State TX
Zip 78624-4408

Physicians in the same zip code

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

Competitor

Search similar physicians

City FREDERICKSBURG
Zip Code 78624
Specialty FAMILY PRACTICE
City + Specialty FREDERICKSBURG + FAMILY PRACTICE

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Dataset Information

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.

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