| Dr Craig Mcmullen, MD | |
|
1220 N Pacific St, Mineola, TX 75773-1054 | |
| (903) 569-6124 | |
| (903) 567-2467 |
| Full Name | Dr Craig Mcmullen |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 1220 N Pacific St, Mineola, 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 |
|---|---|---|---|
| 1487614616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L6742 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Home Health Services | Pittsburg, TX | Home health agency |
| Ut Health East Texas Home Health Services | Athens, TX | Home health agency |
| Ut Health East Texas Quitman Hospital | Quitman, TX | Hospital |
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| East Texas Medical Center - Carthage | Carthage, TX | Hospital |
| The University Of Texas Health Science Center At Tyler | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Etmc Physician Group, Inc. | 4486915600 | 309 |
| Quitman Hospital Llc | 9133484330 | 22 |
| 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 |
| Entity Name | Quitman Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629571773 PECOS PAC ID: 9133484330 Enrollment ID: O20180517000264 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig Mcmullen, MD 1220 N Pacific St, Mineola, TX 75773-1054 Ph: (903) 569-6124 | Dr Craig Mcmullen, MD 1220 N Pacific St, Mineola, TX 75773-1054 Ph: (903) 569-6124 |
Roel O Flores Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 N Pacific St, Mineola, TX 75773 Phone: 903-569-5383 | |
Dr. Diana Bankhead, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 139 Maxine St, Mineola, TX 75773 Phone: 903-569-2929 Fax: 903-569-2938 | |
Dr. Robert M Elliott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 W Kilpatrick St, Mineola, TX 75773 Phone: 903-569-2006 Fax: 903-567-2206 | |
Kyle L Gully, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 N Pacific St, Mineola, TX 75773 Phone: 903-569-5383 |