| Dr Edward Timothy Okelley, MD | |
|
1011 South William, Atlanta, TX 75551-3245 | |
| (903) 796-2868 | |
| (903) 796-0826 |
| Full Name | Dr Edward Timothy Okelley |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 43 Years |
| Location | 1011 South William, Atlanta, 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 |
|---|---|---|---|
| 1184630212 | NPI | - | NPPES |
| 133940003 | Medicaid | TX | |
| A007 | Other | CHAMPUS | |
| 806058 | Other | TX | BCBS |
| 118097 | Other | CHIPS | |
| 97279 | Other | TX | BCBS |
| 010017871 | Other | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G3658 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Heritage Hospice Of Texarkana Llc | Texarkana, TX | Hospice |
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Focused Care At Linden | Linden, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Texas Physician Services, Pllc | 6305295429 | 215 |
| Pallicare, Inc | 8123429925 | 57 |
| Entity Name | Cogent Healthcare Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20061121000364 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
| Entity Name | Hospitalist Medicine Physicians Of Texas - Texarkana, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720623440 PECOS PAC ID: 9739516881 Enrollment ID: O20200302000606 |
| Entity Name | Pallicare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316511884 PECOS PAC ID: 8123429925 Enrollment ID: O20210630003632 |
| Entity Name | North Texas Physician Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edward Timothy Okelley, MD Po Box 1326, Marshall, TX 75671-1326 Ph: (903) 927-3782 | Dr Edward Timothy Okelley, MD 1011 South William, Atlanta, TX 75551-3245 Ph: (903) 796-2868 |
Dr. Kristi Dawn Henderson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Dr. Joe Daniel Nichols Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1011 South William, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Dr. Richard Leroy Hozdic Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 N William St, Atlanta, TX 75551 Phone: 903-614-3630 Fax: 903-614-3525 | |
Dr. Matthew James Hogan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 |