| Dr Paul Craig Spiller, MD | |
|
1507 Rivery Blvd, Georgetown, TX 78628-3058 | |
| (512) 509-9550 | |
| (512) 509-9555 |
| Full Name | Dr Paul Craig Spiller |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 1507 Rivery Blvd, Georgetown, 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 |
|---|---|---|---|
| 1154320935 | NPI | - | NPPES |
| 220406 | Medicaid | SC | |
| GP4210 | Medicaid | SC | |
| 000672229F | Medicaid | GA | |
| 202660098 | Other | SC | GAFFNEY HMA PHYSICIAN MANAGEMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 040557 (Georgia) | Secondary |
| 207Q00000X | Family Medicine | 22040 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | Q7483 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Provider Health Pa | 2264531276 | 25 |
| Entity Name | Premier Provider Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013397066 PECOS PAC ID: 2264531276 Enrollment ID: O20070615000236 |
| Entity Name | Healogics Specialty Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285051094 PECOS PAC ID: 6709002777 Enrollment ID: O20140728002064 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Craig Spiller, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Dr Paul Craig Spiller, MD 1507 Rivery Blvd, Georgetown, TX 78628-3058 Ph: (512) 509-9550 |
Dr. Suja Maria Sabastin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1507 Rivery Blvd, Georgetown, TX 78628 Phone: 512-509-9550 Fax: 512-509-9555 | |
Kathryn Drake Hart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 603 W University Ave, Georgetown, TX 78626 Phone: 512-509-9550 | |
Dr. Thomas Charles Bohmfalk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3201 S Austin Ave Ste 210, Georgetown, TX 78626 Phone: 513-763-4000 Fax: 512-930-4946 | |
William Robert Umstattd, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3008 Dawn Dr, Suite 201, Georgetown, TX 78628 Phone: 512-863-4596 Fax: 512-863-4676 | |
Mr. Richard C Male Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3721 Williams Dr, Georgetown, TX 78628 Phone: 512-869-7310 Fax: 512-869-5616 | |
Dr. Katherine Marie Vega, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1821 Westinghouse Rd Ste 1190, Georgetown, TX 78626 Phone: 512-348-6399 | |
Dr. Ann Louise Nolen, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 7600 Highway 29 W, Suite 5, Georgetown, TX 78628 Phone: 512-930-0363 Fax: 512-930-0371 |