| Dr John Scott Chennault, DO | |
|
1010 Woodson Dr, Caldwell, TX 77836-1000 | |
| (979) 567-4900 | |
| (979) 567-4901 |
| Full Name | Dr John Scott Chennault |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 38 Years |
| Location | 1010 Woodson Dr, Caldwell, 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 |
|---|---|---|---|
| 1013945070 | NPI | - | NPPES |
| DU4497 | Other | TX | MEDICARE GROUP PTAN |
| P000D29E6 | Medicaid | TX | |
| P01278536 | Other | TX | PROVIDER PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H4233 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Interim Healthcare Of Waco | Woodway, TX | Home health agency |
| Texas Home Health Group Of College Station Llc | College station, TX | Home health agency |
| Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
| St Joseph Regional Health Center | Bryan, TX | Hospital |
| Chi St Joseph Health Burleson Hospital | Caldwell, TX | Hospital |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Scott Chennault, DO Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Dr John Scott Chennault, DO 1010 Woodson Dr, Caldwell, TX 77836-1000 Ph: (979) 567-4900 |
Kristel Dawn Leubner, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1103 Woodson Dr, Caldwell, TX 77836 Phone: 979-567-7080 Fax: 979-567-9783 | |
Mr. Del Barker Stigler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 302 W Highway 21, Caldwell, TX 77836 Phone: 979-567-3287 Fax: 979-567-7821 | |
Kia E Parsi, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1103 Woodson Dr, Caldwell, TX 77836 Phone: 979-567-3245 Fax: 979-567-9783 | |
Dr. Adil Noshir Nicolwala, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1103 Woodson Dr, Caldwell, TX 77836 Phone: 979-567-7080 Fax: 979-731-1695 |