| Gautam Baskaran, MD | |
|
705 E Marshall Ave Ste 5001, Longview, TX 75601-5524 | |
| (903) 315-4551 | |
| (903) 315-3415 |
| Full Name | Gautam Baskaran |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 18 Years |
| Location | 705 E Marshall Ave Ste 5001, Longview, 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 |
|---|---|---|---|
| 1679732549 | NPI | - | NPPES |
| P02599916 | Other | TX | MCRR |
| 335691703 | Medicaid | TX |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| East Texas Pulmonary Associates Of Longview, Pllc | 2961684394 | 4 |
| Christus Trinity Clinic | 3072426741 | 1246 |
| Northeast Texas Intensivists, Pllc | 5092167528 | 48 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| Access Telecare Pllc | 7810204831 | 331 |
| 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 | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | East Texas Pulmonary Associates Of Longview, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407932510 PECOS PAC ID: 2961684394 Enrollment ID: O20120420000310 |
| Entity Name | Access Telecare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20150923000991 |
| Entity Name | Northeast Texas Intensivists, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497536676 PECOS PAC ID: 5092167528 Enrollment ID: O20240119001805 |
| Mailing Address | Practice Location Address |
|---|---|
| Gautam Baskaran, MD 705 E Marshall Ave Ste 5001, Longview, TX 75601-5524 Ph: (903) 315-4551 | Gautam Baskaran, MD 705 E Marshall Ave Ste 5001, Longview, TX 75601-5524 Ph: (903) 315-4551 |
Zehra Hussain, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Stanislav Weiner, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 5008, Longview, TX 75601 Phone: 903-315-4880 | |
John Odneal, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-5171 Fax: 903-315-1888 | |
Kayvan Kamali, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 920 Judson Rd, Longview, TX 75601 Phone: 903-236-7020 Fax: 903-236-7093 | |
Yashashree A Vegi, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Allessia Wilson, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 709 Hollybrook Dr Ste 4500, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-291-6115 | |
Dr. Michael Francis Broderick, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2901 4th St, Longview, TX 75605 Phone: 903-758-1818 |