Anna Poulos, | |
2115 S Broadway Ave, Tyler, TX 75701-4214 | |
(903) 907-7002 | |
Not Available |
Full Name | Anna Poulos |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 38 Years |
Location | 2115 S Broadway Ave, Tyler, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689121121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 57800 (Tennessee) | Secondary |
207R00000X | Internal Medicine | 175360 (New York) | Secondary |
207R00000X | Internal Medicine | R8811 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oak Street Health Of Texas Pllc | 2163843038 | 77 |
Entity Name | Oak Street Health Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497387419 PECOS PAC ID: 2163843038 Enrollment ID: O20200601001767 |
Mailing Address | Practice Location Address |
---|---|
Anna Poulos, Po Box 746079, Atlanta, GA 30374-6079 Ph: (312) 733-9730 | Anna Poulos, 2115 S Broadway Ave, Tyler, TX 75701-4214 Ph: (903) 907-7002 |
Ifeatu Uchenna Oti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128 | |
Preetham Reddy Muskula, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715 | |
Dr. Varalaxmi Bhavani Nannaka, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901 | |
David A Brickey, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914 | |
Randy Craig Randall, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063 | |
Nabeel K Ahmed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128 | |
Rodolfo Amaro-galvez, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7072 Fax: 903-877-5838 |