Jacqueline Fontenot Butler, MD | |
2901 N Fourth St, Emergency Room, Longview, TX 75605 | |
(903) 758-1818 | |
Not Available |
Full Name | Jacqueline Fontenot Butler |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 12 Years |
Location | 2901 N Fourth St, Longview, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568728103 | NPI | - | NPPES |
2188453 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | Q2519 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Longview Regional Medical Center | Longview, TX | Hospital |
Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Emcare Iah Emergency Physicians Pllc | 4082898465 | 17 |
Entity Name | Acs Primary Care Physicians Southwest Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
Entity Name | Emcare Iah Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770533804 PECOS PAC ID: 4082898465 Enrollment ID: O20110408000383 |
Entity Name | Acute Care Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740655273 PECOS PAC ID: 6800190364 Enrollment ID: O20160204000716 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Fontenot Butler, MD 2901 N Fourth St, Emergency Room, Longview, TX 75605 Ph: (903) 758-1818 | Jacqueline Fontenot Butler, MD 2901 N Fourth St, Emergency Room, Longview, TX 75605 Ph: (903) 758-1818 |
Jonathan J Kral, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Rhiana Dawn Ireland, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2901 N 4th St, Emergency Department, Longview, TX 75605 Phone: 903-232-3675 Fax: 903-232-8542 | |
Matthew Porter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2445 Fax: 903-315-5383 | |
Stanley Upchurch, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Gene Kelly, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3675 | |
Faber A White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Nicole Sneed, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2020 |