| Dr David Thetford, DO | |
|
275 Casino Dr, Amarillo, TX 79118-3816 | |
| (806) 884-9943 | |
| Not Available |
| Full Name | Dr David Thetford |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 275 Casino Dr, Amarillo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033202809 | NPI | - | NPPES |
| 8A5753 | Other | TX | BLUE CROSS/BLUE SHIELD |
| 155206901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L5585 (Texas) | Primary |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Altus Exceptional Physician Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730869207 PECOS PAC ID: 0042662462 Enrollment ID: O20240122000381 |
| Entity Name | Texas Er Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235829359 PECOS PAC ID: 4880039338 Enrollment ID: O20240223003917 |
| Entity Name | Exceptional Physicians Group Lubbock Hospital Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275317646 PECOS PAC ID: 9931545175 Enrollment ID: O20240311003476 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Thetford, DO 206 E 16th St, Dalhart, TX 79022-4802 Ph: (806) 244-5668 | Dr David Thetford, DO 275 Casino Dr, Amarillo, TX 79118-3816 Ph: (806) 884-9943 |
Betty Mabel Martinez, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8300 Taos Dr, Amarillo, TX 79118 Phone: 303-717-7680 | |
Elizabeth Tu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Coulter St Ste 5100, Amarillo, TX 79106 Phone: 806-414-9559 Fax: 806-351-3767 | |
Pamela K Banister, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 S Soncy Rd Ste 150, Amarillo, TX 79119 Phone: 806-212-6353 Fax: 806-212-0558 | |
Dr. Wesley Scott Nickens, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 S Georgia St, Amarillo, TX 79109 Phone: 806-350-8980 Fax: 806-350-7573 | |
Genkai Jason Huang, Family Medicine Medicare: Medicare Enrolled Practice Location: 2701 S Georgia St, Amarillo, TX 79109 Phone: 806-350-8980 Fax: 806-350-7573 | |
Gary J Hilton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 S Georgia St, Amarillo, TX 79109 Phone: 806-350-3000 Fax: 806-350-3337 |