| Dr Lloyd Mason Fruge, MD | |
|
1011 South William, Atlanta, TX 75551-3245 | |
| (903) 796-2868 | |
| (903) 796-0826 |
| Full Name | Dr Lloyd Mason Fruge |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 1011 South William, Atlanta, 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 |
|---|---|---|---|
| 1275547242 | NPI | - | NPPES |
| 117625 | Other | CHIPS | |
| 124211703 | Medicaid | TX | |
| 97278 | Other | AR | BCBS |
| A0008 | Other | CHAMPUS | |
| 806057 | Other | TX | BCBS |
| 010018015 | Other | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G5064 (Texas) | Secondary |
| 207Q00000X | Family Medicine | G5067 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kelton Home Health Care | Atlanta, TX | Home health agency |
| Heritage Home Health | Texarkana, TX | Home health agency |
| Jordan Health Services | Texarkana, TX | Home health agency |
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Texas Border Health Clinic | 8820038565 | 48 |
| Entity Name | East Texas Border Health Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558329797 PECOS PAC ID: 8820038565 Enrollment ID: O20050511001030 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lloyd Mason Fruge, MD 1011 S William St, Atlanta, TX 75551-3245 Ph: (903) 796-2868 | Dr Lloyd Mason Fruge, MD 1011 South William, Atlanta, TX 75551-3245 Ph: (903) 796-2868 |
Dr. Kristi Dawn Henderson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Dr. Edward Timothy Okelley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 South William, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Dr. Joe Daniel Nichols Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1011 South William, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 | |
Dr. Richard Leroy Hozdic Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 305 N William St, Atlanta, TX 75551 Phone: 903-614-3630 Fax: 903-614-3525 | |
Dr. Matthew James Hogan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 S William St, Atlanta, TX 75551 Phone: 903-796-2868 Fax: 903-796-0826 |