| Kevin B Stacks, MD | |
|
864 Preston Rd, Denison, TX 75020-0775 | |
| (903) 624-6514 | |
| (903) 709-0104 |
| Full Name | Kevin B Stacks |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 864 Preston Rd, Denison, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679596423 | NPI | - | NPPES |
| 102719507 | Medicaid | TX | |
| 8A9554 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | K7908 (Texas) | Primary |
| Entity Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Entity Name | Southwest Medical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831299122 PECOS PAC ID: 6204882947 Enrollment ID: O20050325000524 |
| 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 | 24 Hour Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396083424 PECOS PAC ID: 2365670486 Enrollment ID: O20140118000272 |
| 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 |
| Entity Name | Stephens Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518361369 PECOS PAC ID: 4688801715 Enrollment ID: O20150217001018 |
| Entity Name | Concord North Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20160429000472 |
| Entity Name | Wound Management Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053130542 PECOS PAC ID: 2961935382 Enrollment ID: O20241023004791 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin B Stacks, MD 864 Preston Rd, Denison, TX 75020-0775 Ph: (903) 624-6514 | Kevin B Stacks, MD 864 Preston Rd, Denison, TX 75020-0775 Ph: (903) 624-6514 |
Dr. Benjamin Jay Blake, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5016 S Us Highway 75, Denison, TX 75020 Phone: 903-416-2435 | |
Dr. Kevin Lee Thompson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Memorial Dr, Denison, TX 75020 Phone: 903-416-4181 Fax: 903-416-4182 | |
Mr. Zachary Anthony Franklin Sr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Memorial Dr, Denison, TX 75020 Phone: 903-416-4000 | |
Seungwhan Roh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5016 Us Hwy 75, Denison, TX 75020 Phone: 903-416-4000 | |
Jerome Allen Lindsay Ii, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5016 South Us Hwy 75, Denison, TX 75020 Phone: 903-416-4000 | |
Tyler James Nichols, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5016 S Us Highway 75, Denison, TX 75020 Phone: 903-416-4000 |