| Deborah L Boyd, DO | |
|
5414 S Broadway Ave, Tyler, TX 75703-1335 | |
| (903) 581-1601 | |
| Not Available |
| Full Name | Deborah L Boyd |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 5414 S Broadway Ave, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205875929 | NPI | - | NPPES |
| 8BP162 | Other | TX | BCBS |
| 128814403 | Medicaid | TX | |
| 75-0818167-015 | Other | TX | TRICARE |
| 0042GK | Other | TX | BCBS |
| 8EX136 | Other | TX | BCBS |
| 128814410 | Medicaid | TX | |
| 75-0818167-044 | Other | TX | TRICARE |
| 75-0818167-048 | Other | TX | TRICARE |
| 128814404 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | J5974 (Texas) | Secondary |
| 207Q00000X | Family Medicine | J5974 (Texas) | Primary |
| 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 |
|---|---|
| Deborah L Boyd, DO Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000 | Deborah L Boyd, DO 5414 S Broadway Ave, Tyler, TX 75703-1335 Ph: (903) 581-1601 |
Dr. John W Scroggins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 | |
Dr. James Kent Gray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707 Phone: 903-655-0880 Fax: 903-654-6415 | |
Dr. Eric R Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton, Tyler, TX 75701 Phone: 903-509-8888 | |
Michele C Bosworth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 Fax: 903-877-5080 | |
Dr. James A Lively, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3802 Manhatton Dr, Tyler, TX 75701 Phone: 903-509-8888 | |
Steven J Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8764 | |
Andrea M Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 |