| Dr Bruce Elkin Ellerin, MD | |
|
721 Clinic Dr, Tyler, TX 75701-2043 | |
| (903) 535-6312 | |
| (903) 535-6330 |
| Full Name | Dr Bruce Elkin Ellerin |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 31 Years |
| Location | 721 Clinic Dr, 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 |
|---|---|---|---|
| 1285635052 | NPI | - | NPPES |
| 1825753 | Other | AETNA | |
| 1984247-03 | Medicaid | TX | |
| 1984247-04 | Medicaid | TX | |
| 010046338 | Other | AMERICHOICE | |
| 3K8111 | Other | HEALTHNET | |
| P3883771 | Other | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | L8679 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
| The University Of Texas Health Science Center At Tyler | Tyler, TX | Hospital |
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 309 |
| Entity Name | University Of Texas Health Science Center At Tyler-facility-physician |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bruce Elkin Ellerin, MD 721 Clinic Dr, Tyler, TX 75701-2043 Ph: (903) 533-6312 | Dr Bruce Elkin Ellerin, MD 721 Clinic Dr, Tyler, TX 75701-2043 Ph: (903) 535-6312 |
R. Kent Walker, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 Fax: 903-593-0559 | |
Prakash Gajera, Radiology Medicare: May Accept Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 817-321-0404 | |
Timothy J Leihgeber, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 | |
Alfred Llave, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 Fax: 903-593-0559 | |
Kurt Stephen Reuland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 910, Tyler, TX 75701 Phone: 903-705-0072 Fax: 903-705-0068 | |
Dr. Michael David Williams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 910, Tyler, TX 75701 Phone: 903-705-0072 Fax: 903-705-0068 | |
Dr. Melinda Faye Coker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 650, Tyler, TX 75702 Phone: 903-606-5300 |