| Dr Timothy D Maynard, MD | |
|
1507 W Main St, Gatesville, TX 76528-1024 | |
| (254) 865-2166 | |
| (254) 248-6306 |
| Full Name | Dr Timothy D Maynard |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1507 W Main St, Gatesville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396706388 | NPI | - | NPPES |
| 1185183-01 | Medicaid | TX | |
| 080161587 | Other | TX | RR/MEDICARE |
| 84802K | Other | TX | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F6918 (Texas) | Primary |
| Entity Name | Coryell County Memorial Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992832521 PECOS PAC ID: 7719886282 Enrollment ID: O20040202000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy D Maynard, MD 1507 W Main St, Gatesville, TX 76528-1024 Ph: (254) 865-2166 | Dr Timothy D Maynard, MD 1507 W Main St, Gatesville, TX 76528-1024 Ph: (254) 865-2166 |
Dr. Charles Rismyhr, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 Highway 36 Byp S, Ste 401, Gatesville, TX 76528 Phone: 254-248-6500 | |
Dr. Timothy Michael Dannemiller, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-865-2166 Fax: 254-248-0626 | |
Christopher Jason Long, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-865-8251 Fax: 254-248-6306 | |
Mark H Gibby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-865-2166 | |
Zoe Michelle Walker, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-865-2166 Fax: 254-248-6306 | |
Joanne E Pritchard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 319 Highway 36 Byp S, Gatesville, TX 76528 Phone: 254-248-6500 | |
Jesse Samuel Cover, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1507 W Main St, Gatesville, TX 76528 Phone: 254-865-2166 Fax: 254-248-6306 |