| Todd A Patrick, MD PHD | |
|
910 E Houston St, Ste 330, Tyler, TX 75702-8369 | |
| (903) 525-7995 | |
| Not Available |
| Full Name | Todd A Patrick |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 24 Years |
| Location | 910 E Houston St, Tyler, 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 |
|---|---|---|---|
| 1629056908 | NPI | - | NPPES |
| 689448800 | Medicaid | MN | |
| 8BC076 | Other | TX | BCBS OF TEXAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 44797 (Minnesota) | Secondary |
| 207T00000X | Neurological Surgery | N1052 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Home Health Of East Texas | Tyler, TX | Home health agency |
| Christus Mother Frances Hospital | Tyler, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Christus Mother Frances Hospital Sulphur Springs | Sulphur springs, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd A Patrick, MD PHD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Todd A Patrick, MD PHD 910 E Houston St, Ste 330, Tyler, TX 75702-8369 Ph: (903) 525-7995 |
Dr. Mark B Renfro, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701 Phone: 903-595-2441 Fax: 903-595-0743 | |
Charles R Gordon, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2737 S Broadway Ave, Tyler, TX 75701 Phone: 903-592-6000 Fax: 903-592-3224 | |
James E Wortham, P.A. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 2737 S Broadway Ave, Tyler, TX 75701 Phone: 903-592-6000 Fax: 903-592-3224 | |
Dr. Paul W Detwiler, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701 Phone: 903-595-2441 Fax: 903-595-0743 | |
Dr. Nicholas Stephen Andrade, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 850, Tyler, TX 75701 Phone: 903-590-8012 | |
Dr. Thomas W Grahm, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 700 Olympic Plaza Cir, Ste 850, Tyler, TX 75701 Phone: 903-595-2441 Fax: 903-595-0743 |