| Dongkwan Jin, | |
|
3601 4th St, Ttuhsc, Department Of Neurology, Lubbock, TX 79430-8321 | |
| (806) 743-3832 | |
| Not Available |
| Full Name | Dongkwan Jin |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 20 Years |
| Location | 3601 4th St, Lubbock, 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 |
|---|---|---|---|
| 1508310111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | BP10056109 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| St Mary Corwin Med Ctr, Centura Health | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dongkwan Jin, 3601 4th St, Ttuhsc, Department Of Neurology, Lubbock, TX 79430-8321 Ph: (806) 743-3832 | Dongkwan Jin, 3601 4th St, Ttuhsc, Department Of Neurology, Lubbock, TX 79430-8321 Ph: (806) 743-3832 |
Sara Syed Ahmed, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2800 | |
Troy Simon Grantham, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3223 S Loop 289 Ste 600 Private Office 630, Lubbock, TX 79423 Phone: 833-351-8255 Fax: 888-815-3583 | |
Robert L. Gee, LPC Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Suite 1c102, Lubbock, TX 79430 Phone: 806-743-2800 Fax: 806-743-1668 | |
Dr. Elvira G. Pascua-lim, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3223 S Loop 289, Suite 240c, Lubbock, TX 79423 Phone: 806-785-9080 Fax: 806-794-9299 | |
Dr. Annie Lincoln, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2310 Indiana Ave, Lubbock, TX 79410 Phone: 806-795-9777 Fax: 806-795-0799 | |
Manish Kumar, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Department Of Psychiatry 3601 4th St, Texas Tech University Health Sciences Center, Lubbock, TX 79430 Phone: 806-743-6162 Fax: 806-743-1262 | |
Matthew Brandon Kelly, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3223 S Loop 289 Ste 600, Lubbock, TX 79423 Phone: 833-351-8255 |