| Philip John Hahn Jr, DPM | |
|
5606 Summerhill Rd, Texarkana, TX 75503 | |
| (903) 791-1222 | |
| (903) 791-8310 |
| Full Name | Philip John Hahn Jr |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 35 Years |
| Location | 5606 Summerhill Rd, Texarkana, 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 |
|---|---|---|---|
| 1568485787 | NPI | - | NPPES |
| 59921 | Other | AR | BLUE CROSS/BLUE SHIELD |
| 018709801 | Medicaid | TX | |
| 8BF021 | Other | TX | BLUE CROSS BLUE SHIELD |
| 128263717 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 126 (Arkansas) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 1134 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Michael Health System | Texarkana, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Foot And Ankle Center Of Texarkana, P.a. | 1759563950 | 3 |
| Advanced Foot And Ankle Center Of Texarkana, P.a. | 1759563950 | 3 |
| Provider Name | Advanced Foot & Ankle Center Of Texarkana, P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1114139730 PECOS PAC ID: 1759563950 Enrollment ID: O20110722000676 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip John Hahn Jr, DPM 2801 Richmond Rd # 62, Texarkana, TX 75503-2123 Ph: (903) 791-1222 | Philip John Hahn Jr, DPM 5606 Summerhill Rd, Texarkana, TX 75503 Ph: (903) 791-1222 |
Dr. John Michael White, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4416 Elizabeth St, Texarkana, TX 75503 Phone: 903-792-2121 Fax: 903-793-6444 | |
Dr. Glenn G Petty, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5510 Summerhill Rd, Texarkana, TX 75503 Phone: 903-792-2710 Fax: 903-831-7357 | |
Advanced Foot & Ankle Center Of Texarkana, P.a. Podiatrist Medicare: Medicare Enrolled Practice Location: 5606 Summerhill Rd, Texarkana, TX 75503 Phone: 903-791-1222 Fax: 903-791-8310 | |
Orthodomicile Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5510 Summerhill Rd, Texarkana, TX 75503 Phone: 903-792-2710 | |
Austin S. Reeves Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4110 Mcknight Rd, Texarkana, TX 75503 Phone: 903-223-6000 Fax: 903-223-6016 | |
Zachary Dylan Lamkin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5606 Summerhill Rd, Texarkana, TX 75503 Phone: 903-791-1222 Fax: 903-791-8310 |