Fredric C Puckett (NPI# 1154596765, PAC ID# 5890848329) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154596765 |
| PAC ID by PECOS | 5890848329 |
| Professional Enrollment ID | I20090731000397 |
| Full Name | Fredric C Puckett |
| Address |
2203 W Lampasas St Suite 111 Ennis TX 75119-5667 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450833 | ENNIS REGIONAL MEDICAL CENTER |
| 450372 | BAYLOR SCOTT & WHITE MEDICAL CENTER- WAXAHACHIE |
| Address | Phone | Organization |
|---|---|---|
| 2201 W Lampasas St, Ennis Regional Medical Center, Ennis, TX 75119-5644 | 9728750900 | RUNNING BUFFALO CLOVER EMERGENCY PHYSICIANS PLLC |
| 2203 W Lampasas St, Suite 111, Ennis, TX 75119-5667 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
2203 W LAMPASAS ST SUITE 111 |
| City | ENNIS |
| State | TX |
| Zip | 75119-5667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andre Dean Graham | General Surgery | Texas Specialty Physicians | 2203 W Lampasas St, Ennis, TX 75119-5644 |
| Raymond W Blair Jr. | Family Medicine | Texas Health Care Pllc | 2203 W Lampasas St, 101 Privia Med Grp N Tx, Ennis, TX 75119-5644 |
| Rebecca L Lucas | Nurse Practitioner | Texas Specialty Physicians | 2203 W Lampasas St, Ennis, TX 75119-5644 |
| Edward L Holt | Obstetrics/gynecology | Edward Lee Holt, Do, P.a. | 2203 W Lampasas St, Suite 210, Ennis, TX 75119-5644 |
| Felicia L Lewis | Internal Medicine | Lakewood Hills Internal Medicine, LLC | 2203 W Lampasas St, Ennis, TX 75119-5644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William C Davis | Chiropractic | 109 Newman Rd, Ennis, TX 75119-0705 | |
| Deana Marie Wright | Physical Therapy | Nw Main Chiropractic, P.a. | 109 Newman Rd, Ennis, TX 75119-0705 |
| Deandre Brown | Internal Medicine | 1200 Dolfie Ln, Suite 101, Ennis, TX 75119-1639 | |
| Kimberly D Hortman | Nurse Practitioner | Urgent Plus Care LLC | 1200 Dolfie Ln, Suite 101, Ennis, TX 75119-1639 |
| Neal A Zeigler | Emergency Medicine | Urgent Plus Care LLC | 1200 Dolfie Ln, Suite 101, Ennis, TX 75119-1639 |
| David Teran-chavez | Physician Assistant | Urgent Plus Care LLC | 1200 Dolfie Ln, Ennis, TX 75119-1639 |
| Jerry L Northcutt | Optometry | 2405 Yorkstown Dr, Ennis, TX 75119-2191 | |
| Basem Jassin | Otolaryngology | 818 W Ennis Ave, Ennis, TX 75119-3810 | |
| Hector Condarco | Nurse Practitioner | 109 Nw Main St, Ennis, TX 75119-4079 | |
| Daniel F. Gabriel | Chiropractic | 305 E Knox St, Suite A, Ennis, TX 75119-4163 | |
| Find all physicians in zip 75119 | |||
| City | ENNIS |
| Zip Code | 75119 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ENNIS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Fredric C Puckett.
| 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.