| Mark Waweru, MD | |
|
734 W Commerce St, Fairfield, TX 75840-1428 | |
| (903) 389-0926 | |
| (903) 389-0907 |
| Full Name | Mark Waweru |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 734 W Commerce St, Fairfield, 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 |
|---|---|---|---|
| 1871918565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | S6092 (Texas) | Primary |
| 207P00000X | Emergency Medicine | S6092 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jordan Health Services | Palestine, TX | Home health agency |
| Freestone Medical Center | Fairfield, TX | Hospital |
| Jackson-madison County General Hospital | Jackson, TN | Hospital |
| Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
| Fairfield Nursing & Rehabilitation Center | Fairfield, TX | Nursing home |
| Fairview Healthcare Residence | Fairfield, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairfield Hospital District | 6507149192 | 21 |
| Fairfield Hospital District | 6507149192 | 21 |
| Emergency Medical Care Facilities Pc | 6103837877 | 53 |
| Entity Name | Fairfield Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235685892 PECOS PAC ID: 6507149192 Enrollment ID: O20170206000615 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Waweru, MD 734 W Commerce St, Fairfield, TX 75840-1428 Ph: (903) 389-0926 | Mark Waweru, MD 734 W Commerce St, Fairfield, TX 75840-1428 Ph: (903) 389-0926 |
Dr. Darryl White, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 734 W Commerce St, Fairfield, TX 75840 Phone: 956-389-2181 Fax: 956-389-0990 | |
Dr. James Kerbacher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 764 W Commerce St, Fairfield, TX 75840 Phone: 903-389-2181 Fax: 903-389-0901 | |
Dr. David Allen Latham, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Newman St, Fairfield, TX 75840 Phone: 903-644-6652 Fax: 903-644-1604 |