| Steven Ellerbe, | |
|
720 Travis St, Liberty, TX 77575-4828 | |
| (936) 336-6439 | |
| (936) 336-6517 |
| Full Name | Steven Ellerbe |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 36 Years |
| Location | 720 Travis St, Liberty, 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 |
|---|---|---|---|
| 1902803653 | NPI | - | NPPES |
| 2336540 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H9909 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Liberty Medical Surgical Clinic Pa | 6002995347 | 2 |
| Entity Name | Liberty Medical Surgical Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063419729 PECOS PAC ID: 6002995347 Enrollment ID: O20090316000133 |
| Entity Name | Medconmd1 Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811437841 PECOS PAC ID: 2466739776 Enrollment ID: O20170515000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Ellerbe, 720 Travis St, Liberty, TX 77575-4828 Ph: () - | Steven Ellerbe, 720 Travis St, Liberty, TX 77575-4828 Ph: (936) 336-6439 |
Dr. Sheri L Dark, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1409 N Travis St, Liberty, TX 77575 Phone: 936-334-1621 Fax: 936-334-1583 | |
Brandon Kyle Smith, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2708 Jefferson Dr Ste A, Liberty, TX 77575 Phone: 936-334-8800 Fax: 936-334-8801 | |
Don Shannon Callens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 Travis, Liberty, TX 77575 Phone: 936-336-6439 Fax: 936-336-8870 | |
Arthur Reese Brown, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 Travis St, Liberty, TX 77575 Phone: 936-336-6439 Fax: 936-336-6517 |