| William L Fontenot, MD | |
|
709 Hollybrook Dr Ste 3401, Longview, TX 75605-2412 | |
| (903) 753-1778 | |
| (903) 753-7202 |
| Full Name | William L Fontenot |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 31 Years |
| Location | 709 Hollybrook Dr Ste 3401, Longview, 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 |
|---|---|---|---|
| 1730161886 | NPI | - | NPPES |
| 1503997 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 43514 (Tennessee) | Secondary |
| 207X00000X | Orthopaedic Surgery | L0176 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Home Health Of East Texas | Longview, TX | Home health agency |
| Premier Home Care | Longview, TX | Home health agency |
| Highland Park Senior Care | Longview, TX | Home health agency |
| Longview Regional Medical Center | Longview, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Clinicians Of East Texas | 4789957440 | 102 |
| Entity Name | Associated Clinicians Of East Texas |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932640349 PECOS PAC ID: 4789957440 Enrollment ID: O20170831003007 |
| Mailing Address | Practice Location Address |
|---|---|
| William L Fontenot, MD Po Box 610393, Dallas, TX 75261-0393 Ph: (903) 291-6187 | William L Fontenot, MD 709 Hollybrook Dr Ste 3401, Longview, TX 75605-2412 Ph: (903) 753-1778 |
Charles Grooters, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Jordan G Stanley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Cir Ste 300, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-553-7755 | |
Dr. Jack D Elder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 709 Hollybrook Dr, Suite 3401, Longview, TX 75605 Phone: 903-753-1778 Fax: 903-753-7202 | |
Dr. Jay M Stanley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Thomas G Taylor, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Cir Ste 300, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-553-7755 | |
Dr. Charles R Williams, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 701 E Marshall Ave, Suite 502, Longview, TX 75601 Phone: 903-315-4435 Fax: 903-236-4766 | |
Dr. Jonathan W Fontenot, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 |