| Gary M Waddell, MD | |
|
2900 S Loop 256, Palestine, TX 75801-6958 | |
| (903) 731-1084 | |
| Not Available |
| Full Name | Gary M Waddell |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 2900 S Loop 256, Palestine, 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 |
|---|---|---|---|
| 1629029806 | NPI | - | NPPES |
| 102048902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | K1716 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Palestine Regional Medical Center | Palestine, TX | Hospital |
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Ennis Regional Medical Center | Ennis, TX | Hospital |
| Paris Regional Medical Center | Paris, TX | Hospital |
| Grady Memorial Hospital | Chickasha, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Singleton Associates Pa | 6305731118 | 635 |
| Eagle Partners Pllc | 9032205752 | 115 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | Eagle Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20121031000252 |
| Entity Name | North Star Cn Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20150429001555 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary M Waddell, MD 4777 Us Highway 259, Longview, TX 75605-7668 Ph: (903) 663-4800 | Gary M Waddell, MD 2900 S Loop 256, Palestine, TX 75801-6958 Ph: (903) 731-1084 |
Dr. James Franklin Wilder Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3415 S Loop 256, Palestine, TX 75801 Phone: 903-727-2200 Fax: 903-727-2209 | |
Lauren Martinez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 424-290-8004 | |
Clinton Ray Brunson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1084 |