Jessica Thomason Boldwill (NPI# 1437507514, PAC ID# 4385935709) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1437507514 |
| PAC ID by PECOS | 4385935709 |
| Professional Enrollment ID | I20180213002290 |
| Full Name | Jessica Thomason Boldwill |
| Organization Legal Name | LAKELAND MEDICAL ASSOCIATES |
| Address |
117 Medical Cir Athens TX 75751-9003 |
| Phone Number | 9036763200 |
| Gender | F |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567476146 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450389 | EAST TEXAS MEDICAL CENTER ATHENS |
| Address | Phone | Organization |
|---|---|---|
| 117 Medical Cir, Athens, TX 75751-9003 | 9036763200 | LAKELAND MEDICAL ASSOCIATES |
| Organization Legal Name | LAKELAND MEDICAL ASSOCIATES |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Heine | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Steven Koerth | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Christian J Zuniga | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Richard T David | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Victoria M Jacobs | Physician Assistant | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Charles Mettetal | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Joshua N Splinter | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Waleed Mahmoud | Family Medicine | Lakeland Medical Associates | 170 Municipal Dr, Gun Barrel City, TX 75156-3704 |
| Angela M Hill | Nurse Practitioner | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Michael Swartwood | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Street Address |
117 MEDICAL CIR |
| City | ATHENS |
| State | TX |
| Zip | 75751-9003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Heine | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Christian J Zuniga | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Richard T David | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Charles Mettetal | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Joshua N Splinter | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Angela M Hill | Nurse Practitioner | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Michael Swartwood | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Norman L Jennings | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Douglas Curran | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Donald Carney | Family Medicine | Lakeland Medical Associates | 117 Medical Cir, Athens, TX 75751-9003 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Job B Mongare | Neurology | 113 N Murchison St, Athens, TX 75751-2109 | |
| Kevin B Skinner | Physician Assistant | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Williams | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Lynn Humphreys | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Teresa A Kilbourn | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Jennifer Istre | Nurse Practitioner | Dcs Medical Pa | 1115 E Tyler St, Athens, TX 75751-2145 |
| Dana J Santelli | Chiropractic | 890 W Corsicana, Suite 5, Athens, TX 75751-2260 | |
| Jay A Takata | Gastroenterology | Athens Gastroenterology Pa | 115 S Murchison St, Athens, TX 75751-2662 |
| Jennifer A. Mahmoud | Physician Assistant | Athens Gastroenterology Pa | 115 S Murchison St, Athens, TX 75751-2662 |
| Margaret S Allan-wilson | Clinical Social Worker | 600 S Palestine St, Suite 200, Athens, TX 75751-3310 | |
| Find all physicians in zip 75751 | |||
| City | ATHENS |
| Zip Code | 75751 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ATHENS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jessica Thomason Boldwill.
| 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.