| Dr Jason T Pickelman, MD | |
|
1902 Moores Ln, Texarkana, TX 75503-4610 | |
| (903) 792-7515 | |
| (903) 791-8645 |
| Full Name | Dr Jason T Pickelman |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 28 Years |
| Location | 1902 Moores Ln, Texarkana, 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 |
|---|---|---|---|
| 1538163910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | L3895 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Collom And Carney Clinic Association | 1355249541 | 76 |
| Entity Name | Collom & Carney Clinic Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114909934 PECOS PAC ID: 1355249541 Enrollment ID: O20031226000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason T Pickelman, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000 | Dr Jason T Pickelman, MD 1902 Moores Ln, Texarkana, TX 75503-4610 Ph: (903) 792-7515 |
Joseph Sean Womack, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Dr. Glen A Rountree, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1902 Moores Ln, Texarkana, TX 75503 Phone: 903-792-7515 Fax: 903-791-8645 | |
Dr. Christopher Todd Payne, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1902 Moores Ln, Texarkana, TX 75503 Phone: 903-792-7515 Fax: 903-791-8645 | |
Dr. Cordell L Klein, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1902 Moores Ln, Texarkana, TX 75503 Phone: 903-792-7515 Fax: 903-791-8645 | |
Dr. George R Hunter, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 1002 Texas Blvd, Ste 501, Texarkana, TX 75501 Phone: 903-792-7515 | |
Dr. Shivani Mangirish Gaitonde, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1902 Moores Ln, Texarkana, TX 75503 Phone: 903-614-3850 Fax: 903-614-3525 |