| Scott W Wyrick, MD | |
|
3333 Potomac Ave, Texarkana, TX 75503-3513 | |
| (903) 792-3787 | |
| (903) 792-0446 |
| Full Name | Scott W Wyrick |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 3333 Potomac Ave, 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 |
|---|---|---|---|
| 1114920972 | NPI | - | NPPES |
| 80451Y | Other | TX | BLUE CROSS |
| T0120358 | Other | TX | CONTROLLED SUBSTANCES REG |
| 070016709 | Other | TX | MEDICARE RAILROAD |
| 150168601 | Medicaid | TX | |
| 8312J1 | Other | TX | MEDICARE |
| 99096 | Other | AR | BLUE CROSS |
| 148032001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J2424 (Texas) | Primary |
| Entity Name | Wyrick Dermatology Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619977295 PECOS PAC ID: 5092904136 Enrollment ID: O20110105000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott W Wyrick, MD 3333 Potomac Ave, Texarkana, TX 75503-3513 Ph: (903) 792-3787 | Scott W Wyrick, MD 3333 Potomac Ave, Texarkana, TX 75503-3513 Ph: (903) 792-3787 |
Wilmer Lynn Reep, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2931 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-3200 Fax: 903-614-3525 | |
Jack Menges Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-1000 | |
Monica E. Townsend, M. D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Dr. Blane A Graves, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1408 College Dr, Texarkana, TX 75503 Phone: 903-794-0515 Fax: 903-793-8000 | |
Mr. Jeffory Ford Thomas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Phillip Pace, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3502 Richmond Rd, Texarkana, TX 75503 Phone: 903-614-5270 Fax: 903-614-5279 |