| Jason Douglas Soard, PAC | |
|
800 E Dawson St, Tyler, TX 75701-2036 | |
| (903) 606-4262 | |
| Not Available |
| Full Name | Jason Douglas Soard |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 800 E Dawson St, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629090857 | NPI | - | NPPES |
| 909620 | Other | TX | MEDICARE |
| 8ME166 | Other | TX | BCBS |
| 360386205 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02839 (Texas) | Primary |
| 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 | Ray Hubbard Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629145362 PECOS PAC ID: 1153595319 Enrollment ID: O20111128000352 |
| Entity Name | Texas Medicine Resources, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| 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 | Northeast Texas Emergency Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Douglas Soard, PAC Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000 | Jason Douglas Soard, PAC 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 606-4262 |
David Robert Dewalch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 600, Tyler, TX 75701 Phone: 903-596-3488 |
Anna Beth Willits, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3414 Golden Rd Apt B, Tyler, TX 75701 Phone: 325-665-8276 |
Mrs. Dawn Elise O'neal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 410, Tyler, TX 75701 Phone: 903-531-8950 |
Charles Crowell Pierce, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 619 S Fleishel Ave Ste 305, Tyler, TX 75701 Phone: 903-606-1173 |
Matthew Tassinari, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2208 Three Lakes Pkwy Ste 200, Tyler, TX 75703 Phone: 903-596-3844 Fax: 903-596-3843 |
Jordan Fayth Cooke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8101 S Broadway Ave, Tyler, TX 75703 Phone: 903-939-7500 Fax: 903-939-7728 |
Mrs. Megan Renee Followwell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5777 New Copeland Rd, Tyler, TX 75703 Phone: 903-561-9255 |