| Hakam Kayasseh, MD | |
|
3615 19th St, Lubbock, TX 79410-1203 | |
| (806) 725-4288 | |
| Not Available |
| Full Name | Hakam Kayasseh |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 3615 19th St, Lubbock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679658793 | NPI | - | NPPES |
| 930110043 | Other | TX | RAILROAD MEDICARE |
| 67602029 | Medicaid | NM | |
| 140183831 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | G2165 (Texas) | Primary |
| Entity Name | Covenant Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563 |
| Entity Name | Sound Physicians Emergency Medicine Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518475557 PECOS PAC ID: 9739449802 Enrollment ID: O20180209001251 |
| Mailing Address | Practice Location Address |
|---|---|
| Hakam Kayasseh, MD 3420 22nd Pl, Lubbock, TX 79410-1314 Ph: (806) 725-5844 | Hakam Kayasseh, MD 3615 19th St, Lubbock, TX 79410-1203 Ph: (806) 725-4288 |
Lillian Amezquita, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8200 | |
Dr. Shelton Ray Jackson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4407 87th St, Lubbock, TX 79424 Phone: 806-783-0904 Fax: 806-783-0904 | |
Cody Culwell, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4420 114th St, Lubbock, TX 79424 Phone: 806-761-0420 Fax: 806-783-0301 | |
Scott Alan Letbetter Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-2233 | |
Mr. Bharat Bhushan, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-761-0878 | |
Nagarjun Narra, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-4288 | |
Dr. Conrad Bryson Bowman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-9700 |