Dr Keith Allen Wixtrom, MD - Family Medicine in Tyler, TX

Dr Keith Allen Wixtrom, MD is a Family Medicine physician based in Tyler, Texas. Dr Keith Allen Wixtrom is licensed to practice in Texas (license number G8515) and his current practice location is 7916 S Broadway Ave, Tyler, Texas. He can be reached at his office (for appointments etc.) via phone at (903) 266-5900.

NPI number for Dr Keith Allen Wixtrom is 1639193246 and his current mailing address is 308 Hide A Way Ln C, Hideaway, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639193246.

Contact Information

Dr Keith Allen Wixtrom, MD
7916 S Broadway Ave,
Tyler, TX 75703-5274
(903) 266-5900
(214) 276-7333

Map and Direction




Physician's Profile

Full NameDr Keith Allen Wixtrom
GenderMale
SpecialityFamily Medicine
Location7916 S Broadway Ave, Tyler, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1639193246
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 04/24/2019

Medical Identifiers

Medical identifiers for Dr Keith Allen Wixtrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639193246NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine G8515 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Keith Allen Wixtrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Keith Allen Wixtrom, MD
308 Hide A Way Ln C,
Hideaway, TX 75771-5202

Ph: (214) 663-8244
Dr Keith Allen Wixtrom, MD
7916 S Broadway Ave,
Tyler, TX 75703-5274

Ph: (903) 266-5900

Reviews and Comments


Family Medicine Doctors in Tyler, TX

Dr. John W Scroggins, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    
Dr. James Kent Gray, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707
Phone: 903-655-0880    Fax: 903-654-6415
Dr. Eric R Smith, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3802 Manhatton, Tyler, TX 75701
Phone: 903-509-8888    
Michele C Bosworth, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11937 Us Highway 271, Tyler, TX 75708
Phone: 903-877-7777    Fax: 903-877-5080
Dr. James A Lively, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3802 Manhatton Dr, Tyler, TX 75701
Phone: 903-509-8888    
Steven J Cohen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1327 Troup Hwy, Tyler, TX 75701
Phone: 903-510-8764    
Andrea M Ellis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8288 S Broadway Ave, Tyler, TX 75703
Phone: 903-606-7060    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.