| Dr Nathan Daniel Liles, MD | |
|
2830 Calder St, Beaumont, TX 77702-1809 | |
| (409) 892-7171 | |
| (512) 597-2713 |
| Full Name | Dr Nathan Daniel Liles |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 21 Years |
| Location | 2830 Calder St, Beaumont, 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 |
|---|---|---|---|
| 1033343611 | NPI | - | NPPES |
| 2160947 | Medicaid | TX | |
| TXB109244 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | N2174 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Pathology Associates Pa | 1850392150 | 3 |
| Entity Name | Beaumont Pathology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679542104 PECOS PAC ID: 1850392150 Enrollment ID: O20070130000313 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan Daniel Liles, MD Po Box 421479, Houston, TX 77242-1479 Ph: (409) 299-3214 | Dr Nathan Daniel Liles, MD 2830 Calder St, Beaumont, TX 77702-1809 Ph: (409) 892-7171 |
Tommy J Brown, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 5030 Highway 69 S Ste 700, Beaumont, TX 77705 Phone: 409-726-2571 Fax: 409-726-2569 | |
Dr. Michael Lee Kessler, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3530 Fannin St, Beaumont, TX 77701 Phone: 409-842-8222 Fax: 409-842-8244 | |
Mohamed Ahmad Osman, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3530 Fannin St, Beaumont, TX 77701 Phone: 409-842-8222 Fax: 409-842-8244 | |
Dr. Robert H. Jessen, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3530 Fannin St, Beaumont, TX 77701 Phone: 409-842-8222 Fax: 409-842-8244 | |
Rehana Haq Javed, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: Christus Hospital 2830 Calder St., Beaumont, TX 77702 Phone: 409-923-1626 Fax: 409-923-1626 | |
Mrs. Kathryn Keen Bommer, Pathology Medicare: Not Enrolled in Medicare Practice Location: 2830 Calder Ave, Beaumont, TX 77702 Phone: 409-892-7171 |