| Kyle L Gully, MD | |
|
1302 N Pacific St, Mineola, TX 75773-1022 | |
| (903) 569-5383 | |
| Not Available |
| Full Name | Kyle L Gully |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 1302 N Pacific St, Mineola, 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 |
|---|---|---|---|
| 1982678231 | NPI | - | NPPES |
| 111823401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J4176 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus Homecare | Tyler, TX | Home health agency |
| Ut Health East Texas Home Health Services | Pittsburg, TX | Home health agency |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Christus Mother Frances Hospital Sulphur Springs | Sulphur springs, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle L Gully, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Kyle L Gully, MD 1302 N Pacific St, Mineola, TX 75773-1022 Ph: (903) 569-5383 |
Roel O Flores Jr., DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1302 N Pacific St, Mineola, TX 75773 Phone: 903-569-5383 | |
Dr. Diana Bankhead, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 139 Maxine St, Mineola, TX 75773 Phone: 903-569-2929 Fax: 903-569-2938 | |
Dr. Craig Mcmullen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1220 N Pacific St, Mineola, TX 75773 Phone: 903-569-6124 Fax: 903-567-2467 | |
Dr. Robert M Elliott, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 415 W Kilpatrick St, Mineola, TX 75773 Phone: 903-569-2006 Fax: 903-567-2206 |