| Dr Matthew Todd Proctor, MD | |
|
2026 S Jackson St, Jacksonville, TX 75766-5822 | |
| (903) 586-5678 | |
| Not Available |
| Full Name | Dr Matthew Todd Proctor |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 2026 S Jackson St, Jacksonville, 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 |
|---|---|---|---|
| 1164451407 | NPI | - | NPPES |
| 160029802 | Medicaid | TX | |
| P00688868 | Other | TX | RAIL ROAD |
| P01304431 | Other | TX | RAIL ROAD |
| 160029801 | Medicaid | TX | |
| 752616977113 | Other | TX | TRICARE |
| 75-2616977-113 | Other | TX | TRICARE |
| 8DZ886 | Other | TX | BCBS BLUE |
| 152404312 | Medicaid | TX | |
| 75-2616977-002 | Other | TX | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L3209 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| At Home Healthcare | Henderson, TX | Home health agency |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Christus Mother Frances Hospital- Jacksonville | Jacksonville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christus Trinity Clinic | 3072426741 | 1246 |
| Mother Frances Hospital Jacksonville | 5597751024 | 25 |
| Mother Frances Hospital Regional Health Care Center | 9234025636 | 111 |
| 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 |
|---|---|
| Dr Matthew Todd Proctor, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Dr Matthew Todd Proctor, MD 2026 S Jackson St, Jacksonville, TX 75766-5822 Ph: (903) 586-5678 |
Dr. Kenya Sekoni Etim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Nacogdoches St Ste 280, Jacksonville, TX 75766 Phone: 903-541-5396 | |
Richard M Viken, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Craig C Weaver, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Zachary Taylor Page, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 203 Nacogdoches St Ste 280, Jacksonville, TX 75766 Phone: 903-541-5380 Fax: 903-541-5393 | |
William Milawski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Jasmine Dominique Douglas, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 501 S Ragsdale St, Jacksonville, TX 75766 Phone: 903-541-5396 Fax: 903-541-5393 |