Beverly Axe-lewis, DO | |
1400 S Coulter St, Amarillo, TX 79106-1786 | |
(806) 414-9559 | |
(806) 351-3765 |
Full Name | Beverly Axe-lewis |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1400 S Coulter St, Amarillo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679504757 | NPI | - | NPPES |
100142500 A | Medicaid | OK | |
Z7756 | Medicaid | NM | |
044677501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K3360 (Texas) | Primary |
Entity Name | Texas Tech University Health Sciences Center Amarillo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013942150 PECOS PAC ID: 9234037847 Enrollment ID: O20031220000051 |
Mailing Address | Practice Location Address |
---|---|
Beverly Axe-lewis, DO 1400 S Coulter St, Amarillo, TX 79106-1786 Ph: (806) 414-9559 | Beverly Axe-lewis, DO 1400 S Coulter St, Amarillo, TX 79106-1786 Ph: (806) 414-9559 |
Elizabeth Tu, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 S Coulter St Ste 5100, Amarillo, TX 79106 Phone: 806-414-9559 Fax: 806-351-3767 | |
Dr. David Thetford, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 275 Casino Dr, Amarillo, TX 79118 Phone: 806-884-9943 | |
Brian Gillette, MHS, PA-C Family Medicine Medicare: Medicare Enrolled Practice Location: 1100 S Coulter St, Amarillo, TX 79106 Phone: 806-468-9700 | |
Pamela K Banister, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 S Soncy Rd Ste 150, Amarillo, TX 79119 Phone: 806-212-6353 Fax: 806-212-0558 | |
Dr. Wesley Scott Nickens, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2701 S Georgia St, Amarillo, TX 79109 Phone: 806-350-8980 Fax: 806-350-7573 | |
Genkai Jason Huang, Family Medicine Medicare: Medicare Enrolled Practice Location: 2701 S Georgia St, Amarillo, TX 79109 Phone: 806-350-8980 Fax: 806-350-7573 | |
Gary J Hilton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2701 S Georgia St, Amarillo, TX 79109 Phone: 806-350-3000 Fax: 806-350-3337 |