| Dr Braden Wilson, MD | |
|
3355 Earl Campbell Pkwy, Tyler, TX 75701-8435 | |
| (903) 526-0444 | |
| (903) 595-6650 |
| Full Name | Dr Braden Wilson |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 7 Years |
| Location | 3355 Earl Campbell Pkwy, Tyler, 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 |
|---|---|---|---|
| 1558820381 | NPI | - | NPPES |
| 303016001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | E16658 (Arkansas) | Secondary |
| 207W00000X | Ophthalmology | W1919 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jeffries Eye Clinic Pa | 7517153828 | 3 |
| Entity Name | Jeffries Eye Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427142934 PECOS PAC ID: 7517153828 Enrollment ID: O20101129001008 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Braden Wilson, MD 3355 Earl Campbell Pkwy, Tyler, TX 75701-8435 Ph: (903) 526-0444 | Dr Braden Wilson, MD 3355 Earl Campbell Pkwy, Tyler, TX 75701-8435 Ph: (903) 526-0444 |
Mr. Samuel Anthony Minaker, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Grande Blvd, Tyler, TX 75703 Phone: 903-597-4644 Fax: 903-266-9449 | |
Ronald J Pinkenburg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2440 E 5th St, Tyler, TX 75701 Phone: 903-595-0500 Fax: 903-595-2153 | |
Dr. Ming Lu, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-531-4733 | |
Gary L Womack, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 | |
Mrs. Rebecca O Jones, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-5491 | |
Dr. Jeremy Russell Cefalu, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 | |
Michael C. Ford, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 714 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-630-5037 Fax: 903-258-9643 |