| Philip A Gentile, PA | |
|
500 W 4th St, Odessa, TX 79761-5001 | |
| (432) 640-1190 | |
| (432) 640-3489 |
| Full Name | Philip A Gentile |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 500 W 4th St, Odessa, 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 |
|---|---|---|---|
| 1528095361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA03335 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Primary Health Physicians Pllc | 7810237740 | 240 |
| Entity Name | Texas Physician Resources, LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639413289 PECOS PAC ID: 7012161375 Enrollment ID: O20130214000159 |
| Entity Name | St Davids Carenow Urgent Care PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851844104 PECOS PAC ID: 4284918418 Enrollment ID: O20170307000577 |
| Entity Name | Primary Health Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770048704 PECOS PAC ID: 7810237740 Enrollment ID: O20190312003418 |
| Entity Name | Ies Central Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip A Gentile, PA 1717 Main St, Suite 5300, Dallas, TX 75201-4605 Ph: (214) 712-2074 | Philip A Gentile, PA 500 W 4th St, Odessa, TX 79761-5001 Ph: (432) 640-1190 |
Jack K Willis Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr # A, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884 |
Tina M Butler, P.A-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 500 E 4th St, Odessa, TX 79761 Phone: 432-580-8686 Fax: 432-582-2302 |
Hanh Hoang Lovitt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-4000 |
Md Moinul Islam, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 6030 W. University, Odessa, TX 79764 Phone: 432-640-6600 Fax: 432-640-4790 |
Madison Cross, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4060 Medical Park Dr, Odessa, TX 79765 Phone: 432-582-2882 Fax: 432-582-2884 |
Mr. Richard L Mittan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Medical Park Dr, Odessa, TX 79765 Phone: 432-333-6603 Fax: 432-333-8014 |
Mrs. Dayna Lavallee, Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 E 6th St, Odessa, TX 79761 Phone: 432-582-2280 |