| Dr Charles W Ball Jr, MD | |
|
1201 W Loop 281 Ste 302, Longview, TX 75604-2941 | |
| (903) 470-8100 | |
| (903) 470-8101 |
| Full Name | Dr Charles W Ball Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1201 W Loop 281 Ste 302, Longview, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720020738 | NPI | - | NPPES |
| 04629898 | Medicaid | MS | |
| 39809 | Other | TN | TLC |
| 626001636 | Other | TN | USA MANAGED CARE |
| 626001636 | Other | TN | BHSG |
| 4135427 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3825644 | Medicaid | TN | |
| 626001636 | Other | TN | UNITED HEALTHCARE |
| 626001636 | Other | TN | HEALTH NOW |
| 2416091 | Other | TN | CIGNA |
| 10027028 | Other | TN | UAHC |
| 104981001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | T1294 (Texas) | Primary |
| 207Q00000X | Family Medicine | C-5265 (Arkansas) | Secondary |
| Entity Name | Arcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275635542 PECOS PAC ID: 2567370620 Enrollment ID: O20031206000059 |
| Entity Name | Healing Journey Health & Wellness Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477267946 PECOS PAC ID: 6800260142 Enrollment ID: O20230328000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles W Ball Jr, MD 1201 W Loop 281 Ste 302, Longview, TX 75604-2941 Ph: (903) 470-8100 | Dr Charles W Ball Jr, MD 1201 W Loop 281 Ste 302, Longview, TX 75604-2941 Ph: (903) 470-8100 |
Dr. Ravikumar Hanumanthaiah Edalur, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1005 N Eastman Rd, None, Longview, TX 75601 Phone: 903-239-1518 Fax: 903-247-8273 | |
Marco Antonio Chavez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8176 | |
John Layton Wright Jr., D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 802 Medical Dr Ste 401, Longview, TX 75605 Phone: 903-553-7670 | |
George Kenneth Marshall, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 717 N 4th St, Longview, TX 75601 Phone: 903-758-3441 Fax: 903-758-5995 | |
Venkata Amarendra Mangalagiri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Walnut Hill Dr, Longview, TX 75605 Phone: 903-759-7200 | |
Sarah Chavez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8115 | |
Ketki Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Bill Owens Pkwy, Longview, TX 75604 Phone: 903-247-3400 |