| Alicia R W Kincaid, DO | |
|
2001 N Jefferson Ave Ste 203, Mount Pleasant, TX 75455-2310 | |
| (903) 434-8880 | |
| (903) 434-8881 |
| Full Name | Alicia R W Kincaid |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| Location | 2001 N Jefferson Ave Ste 203, Mount Pleasant, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861843633 | NPI | - | NPPES |
| TL.0006478 | Other | CO | PHYSICIAN TRAINING LICENSE |
| 2016020856 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2016020856 (Missouri) | Secondary |
| 208600000X | Surgery | TL.0006478 (Colorado) | Secondary |
| 208600000X | Surgery | T9426 (Texas) | Primary |
| Entity Name | Titus County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia R W Kincaid, DO 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 Ph: (903) 434-8044 | Alicia R W Kincaid, DO 2001 N Jefferson Ave Ste 203, Mount Pleasant, TX 75455-2310 Ph: (903) 434-8880 |
Beth Peterson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave Ste 203, Mount Pleasant, TX 75455 Phone: 903-434-8880 Fax: 903-434-8881 | |
Dr. James Daniel Bove Iii, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave Ste 203, Mount Pleasant, TX 75455 Phone: 903-434-8880 Fax: 903-434-8881 | |
Dr. Edgar Zambrano, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2015 Mulberry Ave, Suite 210, Mount Pleasant, TX 75455 Phone: 903-575-9408 |