| Dr Trevor L Clayton, MD | |
|
2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 | |
| (903) 577-6000 | |
| (903) 577-6245 |
| Full Name | Dr Trevor L Clayton |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 2001 N Jefferson Ave, Mount Pleasant, 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 |
|---|---|---|---|
| 1780735845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 263349 (Massachusetts) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | Q6818 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Chi St Lukes Health Memorial Livingston | Livingston, TX | Hospital |
| Titus Regional Medical Center | Mount pleasant, TX | Hospital |
| Woodland Heights Medical Center | Lufkin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Titus County Hospital District | 0143203257 | 93 |
| Angelina Diagnostic Radiology Associates | 1850380890 | 42 |
| Entity Name | Angelina Diagnostic Radiology Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033175302 PECOS PAC ID: 1850380890 Enrollment ID: O20040506001075 |
| Entity Name | Titus County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Trevor L Clayton, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000 | Dr Trevor L Clayton, MD 2001 N Jefferson Ave, Mount Pleasant, TX 75455-2338 Ph: (903) 577-6000 |
James David Covelli, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000 | |
John Campbell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2001 N Jefferson Ave, Mount Pleasant, TX 75455 Phone: 903-577-6000 Fax: 903-577-6245 | |
Dat Thanh Vo, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2101 Mulberry Ave, Mount Pleasant, TX 75455 Phone: 903-434-8450 |