| Dr Derek K (kent) Lichota, MD | |
|
2401 S 31st St, Temple, TX 76508-0001 | |
| (254) 724-2111 | |
| Not Available |
| Full Name | Dr Derek K (kent) Lichota |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 2401 S 31st St, Temple, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144280702 | NPI | - | NPPES |
| 1278087-03 | Other | TX | CSHCN |
| 1278087-04 | Medicaid | TX | |
| 200039616 | Other | TX | RR/MEDICARE |
| 86J300 | Other | TX | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | H4491 (Texas) | Primary |
| Entity Name | Woodlands Health Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902389521 PECOS PAC ID: 2567706500 Enrollment ID: O20181203002228 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek K (kent) Lichota, MD Po Box 847408, Dallas, TX 75284-7408 Ph: (254) 724-2111 | Dr Derek K (kent) Lichota, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2111 |
Dr. Kirby Dee Hitt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Robert Alan Weber Jr., M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Benjamin Joseph May, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Clint D Barnett, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-5455 | |
Dr. Charlie Dee Wilson, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 2401 S 31st St Bldg 35, Temple, TX 76508 Phone: 254-724-2663 | |
Dr. Hilda Hermien Kriel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |