| Dr Christine C Moulds-merritt, MD | |
|
707 Hollybrook Dr, Longview, TX 75605-2410 | |
| (903) 291-6022 | |
| (903) 291-6021 |
| Full Name | Dr Christine C Moulds-merritt |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 707 Hollybrook Dr, Longview, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215904875 | NPI | - | NPPES |
| 104102205 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | J4378 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| The University Of Texas Health Science Center At Tyler | Tyler, TX | Hospital |
| Longview Regional Medical Center | Longview, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 309 |
| University Of Texas Health Science Center At Tyler-facility-physician | 4981699220 | 104 |
| 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 Christine C Moulds-merritt, MD Po Box 610393, Dallas, TX 75261-0393 Ph: (903) 291-6187 | Dr Christine C Moulds-merritt, MD 707 Hollybrook Dr, Longview, TX 75605-2410 Ph: (903) 291-6022 |
Whitney Lynn Finstad Selph, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave Ste 5000, Longview, TX 75601 Phone: 903-315-4400 | |
Dustin Max Mcdermott, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave, Suite 3000, Longview, TX 75601 Phone: 903-315-2762 Fax: 903-315-2595 | |
Shamarick Gaston Blue, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 409 N 6th St, Longview, TX 75601 Phone: 903-315-5520 Fax: 903-663-6371 | |
Marvin B Holcomb, MD Surgery Medicare: Medicare Enrolled Practice Location: 703 E Marshall Ave, Suite 3000, Longview, TX 75601 Phone: 903-315-2762 Fax: 903-315-2595 | |
Dr. Gary R Jacobs, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, #4008, Longview, TX 75601 Phone: 903-753-2276 Fax: 903-753-7420 | |
David Jayakar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6191 Fax: 903-291-6155 |