Dr Adair Deberry-carlisle, DO in Tyler, TX

Dr Adair Deberry-carlisle, DO is a medicare enrolled "Surgery - Trauma Surgery" physician in Tyler, Texas. She went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2003 and has 21 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Alegent Creighton Clinic, Charleston Area Medical Center Inc and her current practice location is 630 S Fleishel Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-5560.

Dr Adair Deberry-carlisle is licensed to practice in Nebraska (license number 1974) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730110651.

Contact Information

	Dr Adair Deberry-carlisle, DO
	630 S Fleishel Ave, Tyler, TX 75701-2041
	(903) 606-5560
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Adair Deberry-carlisle
Gender	Female
Speciality	General Surgery
Experience	21 Years
Location	630 S Fleishel Ave, Tyler, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Adair Deberry-carlisle attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2003

NPI Data:

NPI Number: 1730110651
Provider Enumeration Date: 07/06/2006
Last Update Date: 03/05/2023

Medicare PECOS Information:

PECOS PAC ID: 0941373617
Enrollment ID: I20190213000478

Medical Identifiers

Medical identifiers for Dr Adair Deberry-carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730110651	NPI	-	NPPES
8AN626	Other	TX	BCBSTX
197530202	Medicaid	TX
200908280A	Medicaid	OK
P02531927	Other	TX	MEDICARE RAIL ROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	M0050 (Texas)	Secondary
208600000X	Surgery	1974 (Nebraska)	Secondary
2086S0127X	Surgery - Trauma Surgery	6836 (Oklahoma)	Secondary
2086S0127X	Surgery - Trauma Surgery	007921 (Arizona)	Secondary
2086S0127X	Surgery - Trauma Surgery	71035-21 (Wisconsin)	Secondary
2086S0127X	Surgery - Trauma Surgery	1974 (Nebraska)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Chi Health Bergan Mercy	Omaha, NE	Hospital
Trident Medical Center	Charleston, SC	Hospital
Charleston Area Medical Center	Charleston, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Alegent Creighton Clinic	1951210418	827
Charleston Area Medical Center Inc	3375441637	675

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adair Deberry-carlisle allows following entities to bill medicare on her behalf.

Entity Name	Unmc Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664

Entity Name	Alegent Creighton Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548287907 PECOS PAC ID: 1951210418 Enrollment ID: O20040407001314

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adair Deberry-carlisle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Adair Deberry-carlisle, DO 988102 Nebraska Medical Center, Omaha, NE 68198-8102 Ph: () -	Dr Adair Deberry-carlisle, DO 630 S Fleishel Ave, Tyler, TX 75701-2041 Ph: (903) 606-5560

Reviews and Comments

Surgery Doctors in Tyler, TX

Hugh P Babineau, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1100 E Lake St, Ste 230, Tyler, TX 75701 Phone: 903-593-0230 Fax: 903-597-3015
Dr. David Brent Kerns, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1040 S Fleishel Ave, Tyler, TX 75701 Phone: 903-533-8702 Fax: 903-533-8720
Dr. Margarita De La Garza-grahm, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1020 E Lake St, Tyler, TX 75701 Phone: 903-593-5500 Fax: 903-593-5408
Chelsea Elizebeth Conder, CSFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351
Robert S Ellis, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St, Ste 530, Tyler, TX 75702 Phone: 903-531-5560
Dr. Robert A Mckinney Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston, Ste 550, Tyler, TX 75701 Phone: 903-592-7393
Dr. Duane N Andrews, MD Surgery Medicare: Medicare Enrolled Practice Location: 910 E Houston St, Suite 550, Tyler, TX 75702 Phone: 903-592-7393

Dr Adair Deberry-carlisle, DO - Medicare General Surgery in Tyler, TX