| Kristopher Blake Mccall, MD | |
|
208 Gaslight Blvd, Lufkin, TX 75904-3166 | |
| (936) 638-8004 | |
| Not Available |
| Full Name | Kristopher Blake Mccall |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 8 Years |
| Location | 208 Gaslight Blvd, Lufkin, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154682839 | NPI | - | NPPES |
| 200445890A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 29074 (Oklahoma) | Secondary |
| 207X00000X | Orthopaedic Surgery | R1582 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Care Partners @ Home | Grapevine, TX | Home health agency |
| Woodland Heights Medical Center | Lufkin, TX | Hospital |
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Crockett Medical Center | Crockett, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Specialist Center Pllc | 2163557026 | 9 |
| Entity Name | Texas Specialist Center Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689902231 PECOS PAC ID: 2163557026 Enrollment ID: O20100317000250 |
| Entity Name | Doctx1 Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881072833 PECOS PAC ID: 6002124765 Enrollment ID: O20150929002062 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristopher Blake Mccall, MD 208 Gaslight Blvd, Lufkin, TX 75904 Ph: (936) 634-8800 | Kristopher Blake Mccall, MD 208 Gaslight Blvd, Lufkin, TX 75904-3166 Ph: (936) 638-8004 |
Jason D Carter, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 208 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-634-8800 | |
Dr. Roy Guse, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 208 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-634-8800 | |
Peter Wells Ross, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 208 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-634-8800 Fax: 936-634-8836 | |
Dr. Daniel Fuentes, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 208 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-634-8800 | |
Dr. John Daniel Carter, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 208 Gaslight Blvd, Suite 2, Lufkin, TX 75904 Phone: 936-634-8800 Fax: 936-630-8875 | |
Dr. Jackson D Wagnon, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 208 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-634-8800 |