| Dr Charles M Myers Jr, DO | |
|
400 Sw 25th Ave, Dept Of Radiology, Mineral Wells, TX 76067-8246 | |
| (940) 325-7891 | |
| (940) 328-6523 |
| Full Name | Dr Charles M Myers Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 400 Sw 25th Ave, Mineral Wells, 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 |
|---|---|---|---|
| 1801850193 | NPI | - | NPPES |
| 0057NK | Other | TX | BLUE CROSS BLUE SHIELD TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | M1959 (Texas) | Secondary |
| 2085B0100X | Radiology - Body Imaging | M1959 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palo Pinto General Hospital | Mineral wells, TX | Hospital |
| Paris Regional Medical Center | Paris, TX | Hospital |
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Grady Memorial Hospital | Chickasha, OK | Hospital |
| Seton Medical Center Harker Heights | Harker heights, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Star Fm Lp | 1153591763 | 53 |
| North Star Mcd Llc | 2668659434 | 67 |
| Singleton Associates Pa | 6305731118 | 635 |
| North Star Diagnostic Imaging Llc | 8729118021 | 33 |
| Eagle Partners Pllc | 9032205752 | 115 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | North Star Mri Of Frisco Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20070821000328 |
| Entity Name | North Star Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20100614000182 |
| Entity Name | North Star Mcd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063712461 PECOS PAC ID: 2668659434 Enrollment ID: O20110602000702 |
| Entity Name | North Star Fm Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20110908001884 |
| Entity Name | Eagle Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20121031000252 |
| Entity Name | North Star Cn Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20150429001555 |
| Entity Name | Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730366832 PECOS PAC ID: 2466494646 Enrollment ID: O20151019000586 |
| Entity Name | Tpg Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194902296 PECOS PAC ID: 8729990544 Enrollment ID: O20151024000136 |
| Entity Name | North Star Fp Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20170816002017 |
| Entity Name | North Star Gv Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922512664 PECOS PAC ID: 0648539023 Enrollment ID: O20180110000546 |
| Entity Name | North Star Npt Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699387647 PECOS PAC ID: 8426468265 Enrollment ID: O20201105000633 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles M Myers Jr, DO Po Box 1656, Aledo, TX 76008-1656 Ph: (817) 441-1826 | Dr Charles M Myers Jr, DO 400 Sw 25th Ave, Dept Of Radiology, Mineral Wells, TX 76067-8246 Ph: (940) 325-7891 |