| Dr Douglas Trippe, MD | |
|
5508 Summerhill Rd, Texarkana, TX 75503-1822 | |
| (903) 792-1292 | |
| (903) 792-2051 |
| Full Name | Dr Douglas Trippe |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 39 Years |
| Location | 5508 Summerhill Rd, Texarkana, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093716631 | NPI | - | NPPES |
| 136937304 | Medicaid | TX | |
| 300039219 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | H4753 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Wadley Regional Medical Center At Hope | Hope, AR | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of North Texas Pa | 7911897301 | 325 |
| Radiology Associates Of North Texas Pa | 7911897301 | 325 |
| Entity Name | Radiology Associates Of North Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053470179 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Trippe, MD 816 W Cannon St, Fort Worth, TX 76104-3194 Ph: (817) 321-0404 | Dr Douglas Trippe, MD 5508 Summerhill Rd, Texarkana, TX 75503-1822 Ph: (903) 792-1292 |
Alan B Jean, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4102 Richmond Mdws, Texarkana, TX 75503 Phone: 903-223-1014 Fax: 903-223-1028 | |
Dr. Steven Holman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 5508 Summerhill Rd, Texarkana, TX 75503 Phone: 903-792-1292 Fax: 903-792-2051 | |
Joshua Gordon Martin, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 5508 Summerhill Rd, Texarkana, TX 75503 Phone: 903-792-1292 | |
Dr. Michele Marie Crockett, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 | |
Dr. William Beaty, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5508 Summerhill Rd, Texarkana, TX 75503 Phone: 903-792-1292 | |
Dr. William Randall Brown, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 5508 Summerhill Rd, Texarkana, TX 75503 Phone: 903-792-1292 Fax: 903-792-2051 |