| Dr Jonathan W Fontenot, MD | |
|
323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 | |
| (903) 758-2746 | |
| (903) 758-7127 |
| Full Name | Dr Jonathan W Fontenot |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 31 Years |
| Location | 323 E Hawkins Pkwy Ste A, Longview, 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 |
|---|---|---|---|
| 1275500811 | NPI | - | NPPES |
| 141243905 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | K9533 (Texas) | Secondary |
| 207X00000X | Orthopaedic Surgery | K9533 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elite Home Health | Longview, TX | Home health agency |
| Encompass Home Health Of East Texas | Longview, TX | Home health agency |
| Longview Regional Medical Center | Longview, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regional Clinics Of Longview | 7214016559 | 37 |
| Entity Name | Longview Orthopaedic Clinic Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053476259 PECOS PAC ID: 5799887105 Enrollment ID: O20070302000187 |
| Entity Name | Regional Clinics Of Longview |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407047863 PECOS PAC ID: 7214016559 Enrollment ID: O20080512000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan W Fontenot, MD 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 Ph: (903) 758-2746 | Dr Jonathan W Fontenot, MD 323 E Hawkins Pkwy Ste A, Longview, TX 75605-8162 Ph: (903) 758-2746 |
Charles Grooters, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Jordan G Stanley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Cir Ste 300, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-553-7755 | |
Dr. Jack D Elder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 709 Hollybrook Dr, Suite 3401, Longview, TX 75605 Phone: 903-753-1778 Fax: 903-753-7202 | |
Dr. Jay M Stanley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Thomas G Taylor, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Cir Ste 300, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-553-7755 | |
Dr. Charles R Williams, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 701 E Marshall Ave, Suite 502, Longview, TX 75601 Phone: 903-315-4435 Fax: 903-236-4766 |