| Dr Clinton Charles Smithson Iii, MD | |
|
800 E Dawson St, Tyler, TX 75701-2036 | |
| (903) 606-4262 | |
| Not Available |
| Full Name | Dr Clinton Charles Smithson Iii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 800 E Dawson St, 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 |
|---|---|---|---|
| 1083025134 | NPI | - | NPPES |
| 75-0818167-044 | Other | TX | TRICARE |
| 75-1976930-005 | Other | TX | TRICARE |
| 525037YS6P | Other | TX | MEDICARE |
| 75-0818167-048 | Other | TX | TRICARE |
| 75-0818167-051 | Other | TX | TRICARE |
| BP10050385 | Other | TX | PHYSICIAN IN TRAINING PERMIT NUMBER |
| P01855291 | Other | TX | MCRR |
| 362583206 | Medicaid | TX | |
| 525037YS6V | Other | TX | MEDICARE |
| P01855287 | Other | TX | MEDICARE RAIL ROAD |
| 362583207 | Medicaid | TX | |
| 75-0818167-015 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | BP10050385 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | Q5722 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Texas Emergency Physicians Pllc | 8527420306 | 154 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Union Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023798501 PECOS PAC ID: 7810359759 Enrollment ID: O20230809003411 |
| Entity Name | Northeast Texas Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clinton Charles Smithson Iii, MD Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000 | Dr Clinton Charles Smithson Iii, MD 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 606-4262 |
James Carr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4262 | |
Dr. Shawn D Pierce, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 833 S Beckham Ave, Tyler, TX 75701 Phone: 903-780-4396 | |
Dr. James Michael Wilson, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914 | |
Dr. Dallas Wright, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4262 Fax: 903-531-5097 | |
Everett Dean Holley, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4262 | |
Dr. Jackie Rose, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351 Fax: 903-592-5282 | |
Steven W Cooley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Saddle Creek Dr, Tyler, TX 75703 Phone: 903-574-4341 |