| Dr Theodore G Pettle, MD | |
|
1801 S 5th St Ste 114, Mcallen, TX 78503-2919 | |
| (956) 616-5427 | |
| (956) 928-9247 |
| Full Name | Dr Theodore G Pettle |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 15 Years |
| Location | 1801 S 5th St Ste 114, Mcallen, 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 |
|---|---|---|---|
| 1003102211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME139195 (Florida) | Primary |
| 207RG0100X | Internal Medicine - Gastroenterology | R6457 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Texas Health System | Edinburg, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcallen Hospitalist Group Pllc | 9830113836 | 103 |
| Entity Name | Mcallen Hospitalist Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356361976 PECOS PAC ID: 9830113836 Enrollment ID: O20060117001076 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore G Pettle, MD 1801 S 5th St Ste 114, Mcallen, TX 78503-2919 Ph: (956) 616-5427 | Dr Theodore G Pettle, MD 1801 S 5th St Ste 114, Mcallen, TX 78503-2919 Ph: (956) 616-5427 |
Dona E Cooper-dockery, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 801 E Nolana Ave, Ste 12, Mcallen, TX 78504 Phone: 956-686-8802 Fax: 956-686-3083 | |
Jasmine Gowarty, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1901 S Col Rowe Blvd, Mcallen, TX 78503 Phone: 956-687-5150 | |
Dr. Juan Jose Salazar, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 801 E Nolana Ave Ste 2, Mcallen, TX 78504 Phone: 956-687-1177 Fax: 956-687-3290 | |
Daniela Hernandez, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 205 E Toronto Ave, Mcallen, TX 78503 Phone: 956-296-3990 Fax: 956-665-6837 | |
Dr. Encarnacion Rodriguez, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 4300 N Mccoll Rd, Mcallen, TX 78504 Phone: 956-630-1170 | |
Diane Duyen T Nguyen, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 205 E Toronto Ave, Mcallen, TX 78503 Phone: 956-296-3990 Fax: 956-665-6837 |