| Mark W Greenwell, MD | |
|
635 Stone Ave, Paris, TX 75460-9342 | |
| (903) 785-3300 | |
| (903) 785-3310 |
| Full Name | Mark W Greenwell |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 26 Years |
| Location | 635 Stone Ave, Paris, 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 |
|---|---|---|---|
| 1184681371 | NPI | - | NPPES |
| 200452580 A | Medicaid | OK | |
| 3058059-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 29498 (Oklahoma) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | P3725 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Rcg Paris | Paris, TX | Dialysis facility |
| Fmcna - Idabel Dx | Idabel, OK | Dialysis facility |
| Paris Regional Medical Center | Paris, TX | Hospital |
| Mccurtain Memorial Hospital | Idabel, OK | Hospital |
| Christus Mother Frances Hospital Sulphur Springs | Sulphur springs, TX | Hospital |
| Titus Regional Medical Center | Mount pleasant, TX | Hospital |
| Ut Health East Texas Pittsburg Hospital | Pittsburg, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tyler Nephrology Associates Pa | 6901862242 | 23 |
| Tyler Nephrology Associates Pa | 6901862242 | 23 |
| Entity Name | Tyler Nephrology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942360326 PECOS PAC ID: 6901862242 Enrollment ID: O20041208000236 |
| Entity Name | Hometown Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285010496 PECOS PAC ID: 3476858812 Enrollment ID: O20160224000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W Greenwell, MD 1133 Medical Dr, Tyler, TX 75701-2130 Ph: (903) 595-5486 | Mark W Greenwell, MD 635 Stone Ave, Paris, TX 75460-9342 Ph: (903) 785-3300 |
Dr. Alefia A Tapia, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1800 Farm Road 195, Paris, TX 75462 Phone: 903-739-7920 Fax: 903-739-7925 | |
Syed J Mahdi, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1055 Clarksville St, Ste 185, Paris, TX 75460 Phone: 903-739-7461 Fax: 903-739-7935 | |
Dr. Paul Thomas Jackson Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4550 Lamar Ave, Suite 200, Paris, TX 75462 Phone: 903-739-2888 Fax: 903-739-9643 | |
Khalid Shafiq, MD, FACC, FSCAI Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1775 Farm Road 195, Paris, TX 75462 Phone: 903-739-2700 Fax: 903-784-1749 | |
Dr. Sucharu Prakash, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 3550 Ne Loop 286, Paris, TX 75460 Phone: 903-785-0031 Fax: 903-784-6755 | |
William E Surber, M. D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 2850 Lewis Ln, Ste. 101, Paris, TX 75460 Phone: 903-739-2244 Fax: 903-739-2246 |