| Jon S Scarborough, MD | |
|
108 Denver Trl, Azle, TX 76020-3614 | |
| (817) 444-8670 | |
| Not Available |
| Full Name | Jon S Scarborough |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 108 Denver Trl, Azle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811930712 | NPI | - | NPPES |
| 0094BP | Other | TX | BCBS |
| 133703204 | Medicaid | TX | |
| 133703208 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | H2757 (Texas) | Primary |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Comanche County Medical Center Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346544616 PECOS PAC ID: 3678753357 Enrollment ID: O20110825000076 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon S Scarborough, MD Po Box 8549, Fort Worth, TX 76124-0549 Ph: (817) 451-4208 | Jon S Scarborough, MD 108 Denver Trl, Azle, TX 76020-3614 Ph: (817) 444-8670 |
Dr. Steven E Longacre, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1255 Reese Ln, Azle, TX 76020 Phone: 214-632-1863 | |
Dr. Hans A Zambrano, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 108 Denver Trl, Azle, TX 76020 Phone: 817-444-8670 | |
Stephen Joseph Hamilton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 108 Denver Trl, Azle, TX 76020 Phone: 817-444-8670 |