| Gerald Gene Payne Jr, MD | |
| 
					1600 W College St, Ste 210, Grapevine, TX 76051-3580  | |
| (817) 481-0111 | |
| (817) 481-0112 | 
| Full Name | Gerald Gene Payne Jr | 
|---|---|
| Gender | Male | 
| Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine | 
| Location | 1600 W College St, Grapevine, Texas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407821366 | NPI | - | NPPES | 
| 135806115 | Medicaid | TX | |
| 74999 | Other | TX | AMERIGROUP | 
| 135806110 | Medicaid | TX | |
| 4292523 | Other | TX | AETNA | 
| 135806109 | Medicaid | TX | |
| 8H3361 | Other | TX | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | G3678 (Texas) | Primary | 
| Entity Name | Fetal Care Consultants, Llc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1578883187 PECOS PAC ID: 0749466175 Enrollment ID: O20110518000787  | 
| Entity Name | Acclaim Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gerald Gene Payne Jr, MD Po Box 100186, Fort Worth, TX 76185-0186 Ph: (817) 731-7771  | Gerald Gene Payne Jr, MD 1600 W College St, Ste 210, Grapevine, TX 76051-3580 Ph: (817) 481-0111  | 
Mrs. Sofia Ana Lieser, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St Ste 540, Grapevine, TX 76051 Phone: 817-481-5863 Fax: 817-329-8561  | |
Michael N Sims, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 W College St, #540, Grapevine, TX 76051 Phone: 817-481-5863 Fax: 817-329-8561  | |
Robert B Wai, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 W College, #540, Grapevine, TX 76051 Phone: 817-481-5863 Fax: 817-329-8561  | |
Dr. Angelo C Mendez, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 W College St, Ste 340, Grapevine, TX 76051 Phone: 817-329-0389 Fax: 817-421-1416  | |
Doreen A Moser, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1643 Lancaster Dr Ste 204, Grapevine, TX 76051 Phone: 817-310-3775  | |
Carrie Phelps Morris, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Ste 540, Grapevine, TX 76051 Phone: 817-481-5863 Fax: 817-329-8561  | |
Dr. Timothy J Rost, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Ste 340, Grapevine, TX 76051 Phone: 817-329-0389 Fax: 817-421-1416  |