| Tyler Gibson Smith, | |
|
115 Airport Rd, Sulphur Springs, TX 75482-2105 | |
| (903) 885-7671 | |
| Not Available |
| Full Name | Tyler Gibson Smith |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 8 Years |
| Location | 115 Airport Rd, Sulphur Springs, 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 |
|---|---|---|---|
| 1922539030 | NPI | - | NPPES |
| 412047903 | Medicaid | TX | |
| 412047904 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | S0225 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center- Waxahachie | Waxahachie, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Century Integrated Partners, Inc | 6406151703 | 288 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Entity Name | Ies Central Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Gibson Smith, 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1173 | Tyler Gibson Smith, 115 Airport Rd, Sulphur Springs, TX 75482-2105 Ph: (903) 885-7671 |
Regina P Rivera, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Airport Rd, Sulphur Springs, TX 75482 Phone: 903-885-7671 | |
Paul Urban Toote, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Airport Rd, Sulphur Springs, TX 75482 Phone: 903-885-7671 | |
Pamela A Herbert, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 115 Airport Rd, Sulphur Springs, TX 75482 Phone: 903-885-7671 | |
Dr. Meghan E Smith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 115 Airport Rd, Sulphur Springs, TX 75482 Phone: 903-885-7671 |