| Dr William Jerry Robertson, MD | |
|
2604 St Michael Dr, Ste 410, Texarkana, TX 75503-2378 | |
| (903) 614-5430 | |
| (903) 614-5464 |
| Full Name | Dr William Jerry Robertson |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 2604 St Michael Dr, Texarkana, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346202579 | NPI | - | NPPES |
| 124648002 | Medicaid | TX | |
| 54444 | Other | AR | BCBS |
| 103412001 | Medicaid | AR | |
| 124648005 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G0817 (Texas) | Primary |
| 207V00000X | Obstetrics & Gynecology | C5231 (Arkansas) | Secondary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | C H Wilkinson Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20041203000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Jerry Robertson, MD 919 Hidden Rdg, 6th Floor, Irving, TX 75038-3813 Ph: (469) 282-2711 | Dr William Jerry Robertson, MD 2604 St Michael Dr, Ste 410, Texarkana, TX 75503-2378 Ph: (903) 614-5430 |
Dr. Joseph Alexander Rutz Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5911 Richmond Rd Apt 6302, Texarkana, TX 75503 Phone: 318-245-9834 | |
Michael N Holland, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Dr. Vernon C. Shaffer Jr., MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2604 Saint Michael Dr, Suite 410, Texarkana, TX 75503 Phone: 903-614-5430 Fax: 903-614-5464 | |
Dandra D Bingham, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
David E Greathouse, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Dr. Marion Arleen Reynolds, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1002 Texas Blvd Ste 501, Texarkana, TX 75501 Phone: 903-794-0888 Fax: 854-854-7171 |