Craig S Yetter, DO | |
2203 W Lampasas St Ste 202, Ennis, TX 75119-5668 | |
(972) 875-8833 | |
(972) 875-8866 |
Full Name | Craig S Yetter |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2203 W Lampasas St Ste 202, Ennis, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164436168 | NPI | - | NPPES |
137977817 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | H2916 (Texas) | Secondary |
207Q00000X | Family Medicine | H2916 (Texas) | Primary |
Entity Name | Texas Specialty Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558521179 PECOS PAC ID: 6305901927 Enrollment ID: O20090216000230 |
Entity Name | Concord Medical Group Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Entity Name | Crockett Medical Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487155990 PECOS PAC ID: 3173884152 Enrollment ID: O20180316002045 |
Mailing Address | Practice Location Address |
---|---|
Craig S Yetter, DO 2203 W Lampasas St Ste 202, Ennis, TX 75119-5668 Ph: (972) 875-8833 | Craig S Yetter, DO 2203 W Lampasas St Ste 202, Ennis, TX 75119-5668 Ph: (972) 875-8833 |
Dr. John Bruno Arkusinski, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 206 S Clay St Ste A, Ennis, TX 75119 Phone: 469-256-2525 Fax: 469-256-2164 | |
Thomas Tran, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2203 W Ennis Ave, Suite 300, Ennis, TX 75119 Phone: 972-875-2858 Fax: 972-875-2928 | |
Dr. Fredric Clark Puckett, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2203 W Lampasas St, Suite 205, Ennis, TX 75119 Phone: 972-875-6200 Fax: 972-875-6414 | |
Dr. Stefanie Nicole Rust, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2201 West Lampasas Street, Ennis, TX 75119 Phone: 972-875-0900 Fax: 469-256-2154 | |
Dr. Danny Blayne Laws, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 717 W Lampasas St, Ennis, TX 75119 Phone: 972-875-6700 | |
Dr. Bill Ray Lee, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2203 W Lampasas St, Suite 211, Ennis, TX 75119 Phone: 972-875-3997 Fax: 972-875-2545 | |
Dr. Raymond Wesley Blair Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2203 W Lampasas St Ste 101, Ennis, TX 75119 Phone: 972-875-7799 Fax: 972-878-3031 |