| Carmine M Vincifora, MD | |
|
703 E Marshall Ave Ste 5008, Longview, TX 75601-5557 | |
| (903) 315-2032 | |
| Not Available |
| Full Name | Carmine M Vincifora |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 15 Years |
| Location | 703 E Marshall Ave Ste 5008, Longview, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265752315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | Q9072 (Texas) | Primary |
| 208600000X | Surgery | R72157 (Arizona) | Secondary |
| 207L00000X | Anesthesiology | Q9072 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Charles R Gordon Md Pa | 8729992052 | 21 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Charles R Gordon Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982717955 PECOS PAC ID: 8729992052 Enrollment ID: O20031206000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Carmine M Vincifora, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 606-6400 | Carmine M Vincifora, MD 703 E Marshall Ave Ste 5008, Longview, TX 75601-5557 Ph: (903) 315-2032 |
Sayojirao Venkata Kodali, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 906 Judson Rd, Longview, TX 75601 Phone: 903-655-1313 Fax: 903-657-6067 | |
Roger Seth Baker, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2901 N. 4th St, Longview, TX 75605 Phone: 903-247-2050 Fax: 903-934-8280 | |
Stanley Tunstall, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2901 N. 4th St, Longview, TX 75605 Phone: 903-247-2050 Fax: 903-934-8280 | |
Allen Ross Morton, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, #4002, Longview, TX 75601 Phone: 903-247-2050 Fax: 903-247-2054 | |
Mark Johnston Williams, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2901 N. 4th St., Longview, TX 75605 Phone: 903-247-2050 Fax: 903-934-8280 | |
Mr. Michael Christopher Roberts, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 906 Judson Rd, Longview, TX 75601 Phone: 903-655-1313 Fax: 903-657-6067 | |
Dr. Weng Yu Thong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-1488 |