| Charles M Perricone, MD | |
|
105 Zeid Blvd, Henderson, TX 75652-6070 | |
| (903) 657-7583 | |
| Not Available |
| Full Name | Charles M Perricone |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 105 Zeid Blvd, Henderson, 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 |
|---|---|---|---|
| 1659345353 | NPI | - | NPPES |
| 8GF477 | Other | TX | BCBS |
| 130797708 | Medicaid | TX | |
| 75-2616977-066 | Other | TX | TRICARE |
| P01754641 | Other | TX | RAIL ROAD MEDICARE |
| 75-1976930-005 | Other | TX | TRICARE |
| 75-2616977-017 | Other | TX | TRICARE |
| 130797705 | Medicaid | TX | |
| 75-2616977-015 | Other | TX | TRICARE |
| 75-2616977-043 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G8337 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Happy At Home Healthcare | Henderson, TX | Home health agency |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Ut Health East Texas Henderson Hospital | Henderson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| 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 | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles M Perricone, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Charles M Perricone, MD 105 Zeid Blvd, Henderson, TX 75652-6070 Ph: (903) 657-7583 |
Dr. Mary J Starling, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 Us Highway 79 S, Henderson, TX 75654 Phone: 903-717-3260 | |
Dr. Cheryl Ann Polkowski, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-655-6536 Fax: 903-655-4009 | |
Dr. Gordon Uretsky, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-655-6536 Fax: 903-657-6072 | |
Dr. Meredith D Arnall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 Zeid Blvd, Henderson, TX 75652 Phone: 903-657-1653 | |
Kevin Scott Lawrence, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 105 N High St, Henderson, TX 75652 Phone: 903-392-8259 | |
Joseph G. Carver, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 Wilson St, Henderson, TX 75652 Phone: 903-655-6536 |