| Keith Edward Jones, PA-C | |
|
110 Magee Street, Groveton, TX 75845 | |
| (936) 642-0841 | |
| (936) 642-0849 |
| Full Name | Keith Edward Jones |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 110 Magee Street, Groveton, 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 |
|---|---|---|---|
| 1811178031 | NPI | - | NPPES |
| 203876201 | Medicaid | TX | |
| 203876202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA03871 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Woodland Heights Medical Center | Lufkin, TX | Hospital |
| Chi St Lukes Health Memorial Lufkin | Lufkin, TX | Hospital |
| Crockett Medical Center | Crockett, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| D And F Med, Pllc | 6507774668 | 8 |
| Entity Name | D & F Med, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114149671 PECOS PAC ID: 6507774668 Enrollment ID: O20041109000806 |
| Entity Name | Merci, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528413820 PECOS PAC ID: 2769750967 Enrollment ID: O20171205002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Edward Jones, PA-C Po Box 459, Groveton, TX 75845-0459 Ph: (936) 642-0841 | Keith Edward Jones, PA-C 110 Magee Street, Groveton, TX 75845 Ph: (936) 642-0841 |
Mr. Ira Richard Gillum, PA C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 104 S Devine, Groveton, TX 75845 Phone: 936-642-0841 Fax: 936-642-0849 |
Mr. Dennis Jay Clark Jr., PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 110 Magee, Groveton, TX 75845 Phone: 936-642-0841 Fax: 936-642-0849 |