| Eleazar Vera Jr, MD | |
|
602 Titus St Ste 130, Gilmer, TX 75644-1780 | |
| (903) 758-2610 | |
| (903) 758-7081 |
| Full Name | Eleazar Vera Jr |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 602 Titus St Ste 130, Gilmer, 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 |
|---|---|---|---|
| 1407822299 | NPI | - | NPPES |
| 135145401 | Medicaid | TX | |
| 123297 | Other | TX | SUPERIOR |
| 135145411 | Medicaid | TX | |
| 8S5938 | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H8484 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Longview Wellness Center Inc | 1254367766 | 14 |
| Entity Name | Longview Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
| Entity Name | Dailey Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105442 PECOS PAC ID: 5991858243 Enrollment ID: O20090804000168 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Eleazar Vera Jr, MD 1107 E Marshall Ave, Longview, TX 75601-5602 Ph: (903) 758-2610 | Eleazar Vera Jr, MD 602 Titus St Ste 130, Gilmer, TX 75644-1780 Ph: (903) 758-2610 |
Allison Faye Speed, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 326 Pr 2010, Gilmer, TX 75645 Phone: 605-219-7570 | |
Dr. Lewis Roy King, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Titus St, Suite 140, Gilmer, TX 75644 Phone: 903-843-2202 Fax: 903-843-2212 |