| Dr Mark W Mcdonald, MD | |
|
629 Winding Brook Ln, Tyler, TX 75703-0832 | |
| (903) 352-4840 | |
| (903) 352-4840 |
| Full Name | Dr Mark W Mcdonald |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 629 Winding Brook Ln, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407140106 | NPI | - | NPPES |
| 2367145 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | BP10041308 (Texas) | Primary |
| 207P00000X | Emergency Medicine | 206929 (Louisiana) | Secondary |
| Entity Name | Texas Spine And Joint Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942292255 PECOS PAC ID: 0345272381 Enrollment ID: O20111102000147 |
| Entity Name | Cec Tyler Er Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013375740 PECOS PAC ID: 7416226584 Enrollment ID: O20170705001353 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark W Mcdonald, MD 629 Winding Brook Ln, Tyler, TX 75703-0832 Ph: (903) 352-4840 | Dr Mark W Mcdonald, MD 629 Winding Brook Ln, Tyler, TX 75703-0832 Ph: (903) 352-4840 |
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: Medicare Enrolled 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 |