| Charles John Gutierrez, MD | |
|
350 Pine St, Suite 1415, Beaumont, TX 77701-2441 | |
| (409) 924-8600 | |
| (409) 924-8607 |
| Full Name | Charles John Gutierrez |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 31 Years |
| Location | 350 Pine St, Beaumont, 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 |
|---|---|---|---|
| 1104807627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | K9794 (Texas) | Secondary |
| 208600000X | Surgery | K9794 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altus Home Care | Beaumont, TX | Home health agency |
| Harbor Home Health | Beaumont, TX | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Texas Surgical Associates, Pa | 8022059013 | 3 |
| Entity Name | East Texas Surgical Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497892152 PECOS PAC ID: 8022059013 Enrollment ID: O20050519000893 |
| Entity Name | Robert Marriott Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20090518000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles John Gutierrez, MD 350 Pine St, Suite 1415, Beaumont, TX 77701-2441 Ph: (409) 924-8600 | Charles John Gutierrez, MD 350 Pine St, Suite 1415, Beaumont, TX 77701-2441 Ph: (409) 924-8600 |
David Edward Parkus, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 2965 Harrison St Ste 211, Beaumont, TX 77702 Phone: 409-899-8501 Fax: 409-899-8510 | |
Matthew M Sooudi, Surgery Medicare: Not Enrolled in Medicare Practice Location: 980 Thomas Rd, Beaumont, TX 77706 Phone: 409-201-7040 | |
Mootha V Rao, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4480 Thomas Park, Beaumont, TX 77706 Phone: 409-892-4433 | |
Eric Tyler Wooten, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2965 Harrison St Ste 211, Beaumont, TX 77702 Phone: 409-899-8501 Fax: 409-899-8510 | |
Dr. Alex Ordonez, MD, FACS, FASMBS Surgery Medicare: Accepting Medicare Assignments Practice Location: 3406 College St Ste 101, Beaumont, TX 77701 Phone: 409-813-1677 | |
Dr. Emmett R. Mackan Ii, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 755 N 11th St Ste P3950, Beaumont, TX 77702 Phone: 409-892-0099 Fax: 409-892-1911 |