East Texas Medical Center Healthcare Associates is a
Family Medicine based in Tyler, Texas. East Texas Medical Center Healthcare Associates is licensed to practice in * (Not Available) (license number ) and their current practice location is
901 Turtle Creek Dr, Tyler, Texas. It can be reached at their office (for appointments etc.) via phone at
(903) 596-3555.
NPI number for East Texas Medical Center Healthcare Associates is 1124062484 and their current mailing address is Po Box 9477, Tyler, Texas. East Texas Medical Center Healthcare Associates
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124062484.
Healthcare Provider's Profile
| Full Name | East Texas Medical Center Healthcare Associates |
|---|
| Type | Facility |
|---|
| Speciality | Family Medicine |
|---|
| Location | 901 Turtle Creek Dr, Tyler, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1124062484
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 04/11/2017
Medical Identifiers
Medical identifiers for East Texas Medical Center Healthcare Associates such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124062484 | NPI | - | NPPES |
| 130864507 | Medicaid | TX | |
| 00T07K | Other | TX | BLUE CROSS |
| 130864502 | Medicaid | TX | |
| CC7791 | Other | TX | RAILROAD MEDICARE |
| CD9882 | Other | TX | RAILROAD MEDICARE |
| 4944030003 | Other | TX | PALMETTO DME |
| CC6186 | Other | TX | RAILROAD MEDICARE |
| 085332701 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 4278 (Texas) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
| 207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | (* (Not Available)) | Secondary |
| 208600000X | Surgery | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. East Texas Medical Center Healthcare Associates is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
East Texas Medical Center Healthcare Associates
Po Box 9477,
Tyler, TX 75711-9477
Ph: (903) 594-2450 | East Texas Medical Center Healthcare Associates
901 Turtle Creek Dr,
Tyler, TX 75701
Ph: (903) 596-3555 |
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