| Mr Tommy Wayne Laird Jr, PA-C | |
|
5400 Crosslake Pkwy, Suite 300, Waco, TX 76712-6977 | |
| (254) 420-2336 | |
| (254) 732-0795 |
| Full Name | Mr Tommy Wayne Laird Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 5400 Crosslake Pkwy, Waco, 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 |
|---|---|---|---|
| 1679620058 | NPI | - | NPPES |
| PA03396 | Other | TX | TEXAS PA LICENSE |
| 00157011 | Other | TX | TEXAS DPS REGISTRATION NUMBER |
| 1034587 | Other | NCCPA CERTIFICATION ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA03396 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Providence | Waco, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health Alliance | 6305731068 | 119 |
| Entity Name | Providence Health Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307 |
| Entity Name | Falls Community Hospital and Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093743783 PECOS PAC ID: 8527959816 Enrollment ID: O20040324000971 |
| Entity Name | Travis County Emergency Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Seton Family of Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260 |
| Entity Name | Concord Medical Group of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tommy Wayne Laird Jr, PA-C 5 Admirals Cir, Belton, TX 76513-6301 Ph: (512) 540-1117 | Mr Tommy Wayne Laird Jr, PA-C 5400 Crosslake Pkwy, Suite 300, Waco, TX 76712-6977 Ph: (254) 420-2336 |
Tiffany Ann Rose, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712 Phone: 254-297-0400 |
Kelby Been, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 254-751-4000 |
Kylie Marie Smith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Richland West Cir Ste 2c, Waco, TX 76712 Phone: 254-340-6000 Fax: 254-340-6010 |
Cassidy Noelle Blaser, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 254-751-4000 |
Jamie Lynn Lambert, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7003 Woodway Dr Ste 311, Waco, TX 76712 Phone: 254-537-6000 Fax: 254-537-6013 |
Sarah Archer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7700 Fish Pond Rd, Waco, TX 76710 Phone: 254-761-4444 |
Brittany Morgan Zipperlen, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5400 Crosslake Pkwy, Waco, TX 76712 Phone: 254-420-2336 |