Clayton E Whitney, MD | |
1327 Troup Hwy, Tyler, TX 75701-4443 | |
(903) 531-4733 | |
Not Available |
Full Name | Clayton E Whitney |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 1327 Troup Hwy, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780655340 | NPI | - | NPPES |
123448604 | Medicaid | TX | |
8BC079 | Other | TX | BCBS OF TEXAS |
123448605 | Medicaid | TX | |
TIN PLUS 021 | Other | TX | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | G0285 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Mailing Address | Practice Location Address |
---|---|
Clayton E Whitney, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Clayton E Whitney, MD 1327 Troup Hwy, Tyler, TX 75701-4443 Ph: (903) 531-4733 |
Ronald J Pinkenburg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2440 E 5th St, Tyler, TX 75701 Phone: 903-595-0500 Fax: 903-595-2153 | |
Dr. Ming Lu, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-531-4733 | |
Gary L Womack, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 | |
Mrs. Rebecca O Jones, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-5491 | |
Dr. Jeremy Russell Cefalu, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 | |
Michael C. Ford, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 714 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-630-5037 Fax: 903-258-9643 | |
Mr. Charles Lawson Heaton, M. D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3415 Golden Rd, Tyler, TX 75701 Phone: 903-526-0444 Fax: 903-526-2051 |