| Dallon Kitchen, PA-C | |
|
2901 4th St, Longview, TX 75605-5128 | |
| (903) 758-1818 | |
| Not Available |
| Full Name | Dallon Kitchen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 2901 4th St, 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 |
|---|---|---|---|
| 1558744391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA13157 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Longview Regional Medical Center | Longview, TX | Hospital |
| Methodist Hospital Hill Country | Fredericksburg, TX | Hospital |
| Christus Good Shepherd Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospital Medicine Services Of Tx, Pllc | 3274998067 | 376 |
| Associated Clinicians Of East Texas | 4789957440 | 106 |
| Pallicare, Inc | 8123429925 | 85 |
| North Texas Physician Services, Pllc | 6305295429 | 236 |
| Entity Name | Tuba City Regional Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Entity Name | Acs Primary Care Physicians Southwest PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| 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 |
| Entity Name | Etmc Physician Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
| Entity Name | Pallicare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316511884 PECOS PAC ID: 8123429925 Enrollment ID: O20210630003632 |
| Entity Name | Hospital Medicine Services of TX, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881392363 PECOS PAC ID: 3274998067 Enrollment ID: O20230501001255 |
| Entity Name | North Texas Physician Services, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992586150 PECOS PAC ID: 6305295429 Enrollment ID: O20231213004113 |
| Mailing Address | Practice Location Address |
|---|---|
| Dallon Kitchen, PA-C 2901 4th St, Longview, TX 75605-5128 Ph: (903) 758-1818 | Dallon Kitchen, PA-C 2901 4th St, Longview, TX 75605-5128 Ph: (903) 758-1818 |
Jennifer Blair Garrett Benson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 709 Hollybrook Dr Ste 4500, Longview, TX 75605 Phone: 903-291-6287 Fax: 903-291-6286 |
Paul L. Burch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-315-5750 Fax: 903-236-7145 |
Mr. David Edward Stanley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 802 Medical Cir Ste 300, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-553-7755 |
Kraig A. Dekoker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy, Suite A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 |
Caroline Summersgill Hazlett, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 E Marshall Ave, Longview, TX 75601 Phone: 903-315-4880 |
Randy Ranshawn Moore, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 N Fredonia St, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 |
Mrs. Amy J Malone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 N 4th St, Longview, TX 75601 Phone: 903-757-6042 Fax: 903-758-1801 |