| Ronald J Pinkenburg, MD | |
|
2440 E 5th St, Tyler, TX 75701-3592 | |
| (903) 595-0500 | |
| (903) 595-2153 |
| Full Name | Ronald J Pinkenburg |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 2440 E 5th St, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194796805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | D4262 (Texas) | Primary |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald J Pinkenburg, MD 2440 E 5th St, Tyler, TX 75701-3592 Ph: (903) 595-0500 | Ronald J Pinkenburg, MD 2440 E 5th St, Tyler, TX 75701-3592 Ph: (903) 595-0500 |
Mr. Samuel Anthony Minaker, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Grande Blvd, Tyler, TX 75703 Phone: 903-597-4644 Fax: 903-266-9449 | |
Dr. Ming Lu, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-531-4733 | |
Gary L Womack, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 | |
Mrs. Rebecca O Jones, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-5491 | |
Dr. Jeremy Russell Cefalu, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 | |
Michael C. Ford, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 714 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-630-5037 Fax: 903-258-9643 |