| Dr Jerry Wharton Rodgers, MD | |
|
18780 Interstate 20, Canton, TX 75103-3593 | |
| (903) 567-7748 | |
| Not Available |
| Full Name | Dr Jerry Wharton Rodgers |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 18780 Interstate 20, Canton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942218359 | NPI | - | NPPES |
| 039171607 | Medicaid | TX | |
| P01069945 | Other | TX | RAIL ROAD |
| 752616977028 | Other | TX | TRICARE |
| 752616977001 | Other | TX | TRICARE |
| 86426F | Other | TX | BCBS |
| 8V0575 | Other | TX | BCBS OF TEXAS |
| 039171606 | Medicaid | TX | |
| 1701864-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D5180 (Texas) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Wharton Rodgers, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Dr Jerry Wharton Rodgers, MD 18780 Interstate 20, Canton, TX 75103-3593 Ph: (903) 567-7748 |
Dr. Jimmy W Dailey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1108 S Buffalo St, Canton, TX 75103 Phone: 903-567-1910 Fax: 903-567-1940 | |
Mrs. Emily Ann Dosier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18780 Interstate 20, Canton, TX 75103 Phone: 903-567-4841 Fax: 903-567-2818 | |
Kenneth Wayne Nixon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18780 Interstate 20, Canton, TX 75103 Phone: 903-567-4841 | |
John Schiller Turner Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1108 So. Buffalo Street, Canton, TX 75103 Phone: 903-567-1910 Fax: 903-567-1940 |