Dr Kourt Beau Chatelain, DMD | |
805 Turtle Creek Dr, Tyler, TX 75701-1937 | |
(903) 592-1664 | |
(903) 525-1099 |
Full Name | Dr Kourt Beau Chatelain |
---|---|
Gender | Male |
Speciality | Oral Surgery |
Experience | 16 Years |
Location | 805 Turtle Creek Dr, Tyler, 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 |
---|---|---|---|
1366685810 | NPI | - | NPPES |
28677 | Other | TX | TEXAS DENTAL LICENSE |
32475102 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 28677 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tyler Oral And Facial Surgery Inc | 0446272306 | 4 |
Entity Name | Tyler Oral & Facial Surgery Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568654077 PECOS PAC ID: 0446272306 Enrollment ID: O20051220000984 |
Mailing Address | Practice Location Address |
---|---|
Dr Kourt Beau Chatelain, DMD 805 Turtle Creek Dr, Tyler, TX 75701-1937 Ph: (903) 592-1664 | Dr Kourt Beau Chatelain, DMD 805 Turtle Creek Dr, Tyler, TX 75701-1937 Ph: (903) 592-1664 |
Dr. Larry Mike Bloodsworth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1001 Magnolia Drive, Tyler, TX 75701 Phone: 903-595-2707 | |
Dr. Luke Jacob Dlabal Iii, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5605 Old Bullard Rd, Tyler, TX 75703 Phone: 903-747-3919 | |
Dr. Marcus William Worden, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2336 Aberdeen Dr, Tyler, TX 75703 Phone: 903-581-1646 | |
Larry Wayne Murph, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3201 Paluxy Dr, Tyler, TX 75701 Phone: 903-593-5161 Fax: 903-593-8359 | |
Dr. David Frank Nichols, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4700 Kinsey Drive, Tyler, TX 75703 Phone: 903-561-7604 Fax: 903-561-7388 | |
Jung Won Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 212 Old Grande Blvd Ste B224, Tyler, TX 75703 Phone: 903-509-0505 | |
Dr. Donna Gordon Lindsey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5540 Old Jacksonville Hwy, Tyler, TX 75703 Phone: 903-597-2121 Fax: 903-581-7776 |