| Lynn M Brazell, MD | |
|
802 Medical Dr, Suite 101, Longview, TX 75605-5100 | |
| (903) 753-7658 | |
| (903) 236-0385 |
| Full Name | Lynn M Brazell |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 802 Medical Dr, Longview, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356318273 | NPI | - | NPPES |
| 123632507 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | J0808 (Texas) | Primary |
| Entity Name | Longview Wellness Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942269493 PECOS PAC ID: 1254367766 Enrollment ID: O20050714001046 |
| Entity Name | Regional Clinics Of Longview |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407047863 PECOS PAC ID: 7214016559 Enrollment ID: O20080512000372 |
| Entity Name | Obhg Texas Holdings Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn M Brazell, MD Po Box 19036, Belfast, ME 04915-4085 Ph: (903) 381-7263 | Lynn M Brazell, MD 802 Medical Dr, Suite 101, Longview, TX 75605-5100 Ph: (903) 753-7658 |
Dr. Edward E Jacobson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 N 6th St, Longview, TX 75601 Phone: 903-758-0731 Fax: 903-758-1369 | |
Dr. Janet L. Kelley, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1111 N 6th St, Longview, TX 75601 Phone: 903-753-7658 Fax: 903-236-0385 | |
Dr. Francis J Tibiletti, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Dr Ste 202, Longview, TX 75605 Phone: 903-315-2744 Fax: 903-234-1339 | |
Dr. Theresa A Martin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 802 Medical Dr Ste 200, Longview, TX 75605 Phone: 903-232-8297 Fax: 903-553-7751 | |
Dr. Julia B Van Burkleo, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1111 N 6th St, Longview, TX 75601 Phone: 903-753-7658 Fax: 903-236-0385 | |
Teresa Wood, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 703 E Marshall Ave, Suite 3000, Longview, TX 75601 Phone: 903-315-1970 Fax: 903-315-1977 | |
Vanessa Renee Neiman, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 802 Medical Dr Ste 100, Longview, TX 75605 Phone: 903-757-6042 Fax: 903-232-8577 |