| Kimberly D Stewart, DO | |
|
4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 | |
| (936) 569-9481 | |
| (936) 568-3400 |
| Full Name | Kimberly D Stewart |
|---|---|
| Gender | Female |
| Speciality | Radiology - Radiation Oncology |
| Location | 4920 Ne Stallings Dr, Nacogdoches, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184608739 | NPI | - | NPPES |
| 488741YMJM | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 34.016958 (Ohio) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | M0284 (Texas) | Primary |
| Entity Name | C H Wilkinson Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20041203000584 |
| Entity Name | Bhs Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598958431 PECOS PAC ID: 7315019593 Enrollment ID: O20080703000069 |
| Entity Name | Oncology San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790180370 PECOS PAC ID: 7315262730 Enrollment ID: O20150206000227 |
| Entity Name | Genesiscare Landmark Texas Cancer Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376154534 PECOS PAC ID: 9335554062 Enrollment ID: O20210324001477 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly D Stewart, DO 9102 Floyd Curl Dr, San Antonio, TX 78240-1553 Ph: (210) 616-9922 | Kimberly D Stewart, DO 4920 Ne Stallings Dr, Nacogdoches, TX 75965-1254 Ph: (936) 569-9481 |
Mary Beth Calme, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1204 N Mound St, Nacogdoches Memorial Hospital Radiology Dept, Nacogdoches, TX 75961 Phone: 936-558-3567 Fax: 903-663-0378 | |
Kathryn Marie Lewis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4920 N.e. Stallilngs Drive, Nacogdoches, TX 75961 Phone: 936-568-3493 Fax: 281-548-3513 | |
Glenn Monroe Davis, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-569-9481 | |
Chelsea Lewis, RDMS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 1014 Fm 226, Nacogdoches, TX 75961 Phone: 936-657-0030 | |
Tyrrel C Grohman, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 936-569-9481 | |
Dr. Harold R Levine Ii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4920 Ne Stallings Dr, Nacogdoches, TX 75965 Phone: 214-403-8118 |