| Mr Marcus Andrew Smith, MD | |
|
2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503-5228 | |
| (903) 794-4196 | |
| (903) 614-5190 |
| Full Name | Mr Marcus Andrew Smith |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 22 Years |
| Location | 2602 Saint Michael Dr Ste 302b, Texarkana, 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 |
|---|---|---|---|
| 1093929150 | NPI | - | NPPES |
| 179117500 | Other | TX | US DEPARTMENT OF LABOR |
| 85751 | Other | AR | BLUE CROSS BLUE SHIELD OF ARKANSAS |
| P00738165 | Other | TX | RAILROAD MEDICARE |
| 178049001 | Medicaid | AR | |
| 200258160A | Medicaid | OK | |
| 8L14510 | Other | TX | INDIVIDUAL PTAN MEDICARE |
| 1093929150 | Other | TX | QUALCHOICE |
| 1871793307 | Other | CIGNA DME# | |
| 203880401 | Medicaid | TX | |
| P02599421 | Other | TX | RR MCR |
| 1093929150 | Other | TX | TRICARE- HUMANA MILITARY |
| 1093929150 | Other | HUMANA MILITARY | |
| 1G2371 | Other | TX | MEDICARE |
| MDN1153 | Other | TX | TEXAS WORKERS' COMPENSATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | N1153 (Texas) | Primary |
| 174400000X | Specialist | N1153 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Titus Regional Medical Center | Mount pleasant, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Titus County Hospital District | 0143203257 | 93 |
| 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 | C H Wilkinson Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20041203000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marcus Andrew Smith, MD Po Box 9600, Department 09-019, Texarkana, TX 75505-9600 Ph: (903) 794-4196 | Mr Marcus Andrew Smith, MD 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503-5228 Ph: (903) 794-4196 |
Mr. Freddie L Contreras, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 Texas Blvd, Ste 406, Texarkana, TX 75501 Phone: 903-794-4196 Fax: 903-792-7408 | |
Dr. Walid Ibn Essayed, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2604 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-5180 | |
Mr. John Brett Dietze, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2602 Saint Michael Dr Ste 302b, Texarkana, TX 75503 Phone: 903-794-4196 Fax: 903-614-5169 |