Dr Robert Marc Wycoff, MD | |
2600 Saint Michael Dr, Emergency Department, Texarkana, TX 75503-5220 | |
(903) 614-5090 | |
Not Available |
Full Name | Dr Robert Marc Wycoff |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 27 Years |
Location | 2600 Saint Michael Dr, Texarkana, 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 |
---|---|---|---|
1215965579 | NPI | - | NPPES |
PENDING | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 34123 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Urgent Care Pa | 3072679828 | 119 |
Entity Name | Legacy Urgent Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Marc Wycoff, MD 3515 Arista Blvd, Apt 215, Texarkana, TX 75503-1196 Ph: (859) 948-8229 | Dr Robert Marc Wycoff, MD 2600 Saint Michael Dr, Emergency Department, Texarkana, TX 75503-5220 Ph: (903) 614-5090 |
Osei Kwame Asamoah, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-999-9999 | |
Dr. Mark Mccrary, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8868 Fax: 903-798-8879 | |
Jack Menges Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 | |
Alex Wade Ayers, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 | |
Charles Niziol, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8887 | |
Dr. Malcolm Machauer, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Pine St, Texarkana, TX 75501 Phone: 903-798-8880 Fax: 903-798-8879 | |
Dewitt Charles Fortenberry, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr, Suite 302, Texarkana, TX 75503 Phone: 903-336-2391 |