Dr Adair Deberry-carlisle, DO - Medicare General Surgery in Tyler, TX

Dr Adair Deberry-carlisle, DO is a medicare enrolled "Surgery - Trauma Surgery" physician in Tyler, Texas. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Alegent Creighton Clinic, Altru Health System and her current practice location is 630 S Fleishel Ave, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 606-5560.

Dr Adair Deberry-carlisle is licensed to practice in Nebraska (license number 1974) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730110651.

Contact Information

Dr Adair Deberry-carlisle, DO
630 S Fleishel Ave,
Tyler, TX 75701-2041
(903) 606-5560
Not Available

Map and Direction




Physician's Profile

Full NameDr Adair Deberry-carlisle
GenderFemale
SpecialityGeneral Surgery
Experience21 Years
Location630 S Fleishel Ave, Tyler, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Adair Deberry-carlisle graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1730110651
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 03/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941373617
  • Enrollment ID: I20190213000478

Medical Identifiers

Medical identifiers for Dr Adair Deberry-carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730110651NPI-NPPES
8AN626OtherTXBCBSTX
197530202MedicaidTX
200908280AMedicaidOK
P02531927OtherTXMEDICARE RAIL ROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery M0050 (Texas)Secondary
208600000XSurgery 1974 (Nebraska)Secondary
2086S0127XSurgery - Trauma Surgery 6836 (Oklahoma)Secondary
2086S0127XSurgery - Trauma Surgery 007921 (Arizona)Secondary
2086S0127XSurgery - Trauma Surgery 71035-21 (Wisconsin)Secondary
2086S0127XSurgery - Trauma Surgery 1974 (Nebraska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Chi Health Bergan MercyOmaha, NEHospital
Altru HospitalGrand forks, NDHospital
Trident Medical CenterCharleston, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alegent Creighton Clinic1951210418851
Altru Health System1355251604520

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Adair Deberry-carlisle allows following entities to bill medicare on her behalf.
Entity NameUnmc Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417912114
PECOS PAC ID: 6002728391
Enrollment ID: O20031104000664
Entity NameAlegent Creighton Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548287907
PECOS PAC ID: 1951210418
Enrollment ID: O20040407001314

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Adair Deberry-carlisle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Adair Deberry-carlisle, DO
988102 Nebraska Medical Center,
Omaha, NE 68198-8102

Ph: () -
Dr Adair Deberry-carlisle, DO
630 S Fleishel Ave,
Tyler, TX 75701-2041

Ph: (903) 606-5560

Reviews and Comments


Surgery Doctors in Tyler, TX

Hugh P Babineau, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1100 E Lake St, Ste 230, Tyler, TX 75701
Phone: 903-593-0230    Fax: 903-597-3015
Dr. David Brent Kerns, MD
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Practice Location: 1040 S Fleishel Ave, Tyler, TX 75701
Phone: 903-533-8702    Fax: 903-533-8720
Dr. Margarita De La Garza-grahm, MD
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Practice Location: 1020 E Lake St, Tyler, TX 75701
Phone: 903-593-5500    Fax: 903-593-5408
Chelsea Elizebeth Conder, CSFA
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Phone: 903-597-0351    
Robert S Ellis, MD
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Practice Location: 910 E Houston St, Ste 530, Tyler, TX 75702
Phone: 903-531-5560    
Dr. Robert A Mckinney Jr., MD
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Practice Location: 910 E Houston, Ste 550, Tyler, TX 75701
Phone: 903-592-7393    
Dr. Jason S Murry, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1020 E Idel St, Tyler, TX 75701
Phone: 903-535-2902    Fax: 903-535-9217

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.