| John K Wolcott, MD | |
|
5174 Fm 1252 W, Kilgore, TX 75662-1961 | |
| (903) 986-1901 | |
| (903) 984-6151 |
| Full Name | John K Wolcott |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 5174 Fm 1252 W, Kilgore, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396740064 | NPI | - | NPPES |
| 133713108 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H2190 (Texas) | Primary |
| Entity Name | Regional Clinics Of Longview |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407047863 PECOS PAC ID: 7214016559 Enrollment ID: O20080512000372 |
| Mailing Address | Practice Location Address |
|---|---|
| John K Wolcott, MD 5174 Fm 1252 W, Kilgore, TX 75662-1961 Ph: (903) 986-1901 | John K Wolcott, MD 5174 Fm 1252 W, Kilgore, TX 75662-1961 Ph: (903) 986-1901 |
Jason Kelly Brockway, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
Kimberly Nicole Page, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
Justin Levon Du, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
Mark Douglas Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
Clark Wynn Langley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1718 S Henderson Blvd, #8, Kilgore, TX 75662 Phone: 903-983-2110 | |
Dr. James E Repasky, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1718 S Henderson Blvd, #7, Kilgore, TX 75662 Phone: 903-983-2110 |