Dr Bruce Elkin Ellerin, MD | |
721 Clinic Dr, Tyler, TX 75701-2043 | |
(903) 535-6312 | |
(903) 535-6330 |
Full Name | Dr Bruce Elkin Ellerin |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 29 Years |
Location | 721 Clinic Dr, Tyler, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285635052 | NPI | - | NPPES |
1825753 | Other | AETNA | |
1984247-03 | Medicaid | TX | |
1984247-04 | Medicaid | TX | |
010046338 | Other | AMERICHOICE | |
3K8111 | Other | HEALTHNET | |
P3883771 | Other | OXFORD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | L8679 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
The University Of Texas Health Science Center At Tyler | Tyler, TX | Hospital |
Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Etmc Physician Group, Inc. | 4486915600 | 278 |
Entity Name | East Texas Medical Center Healthcare Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124062484 PECOS PAC ID: 3678486222 Enrollment ID: O20031114000152 |
Entity Name | University Of Texas Health Science Center At Tyler-facility-physician |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048 |
Entity Name | Etmc Physician Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609382662 PECOS PAC ID: 4486915600 Enrollment ID: O20180305002106 |
Mailing Address | Practice Location Address |
---|---|
Dr Bruce Elkin Ellerin, MD 721 Clinic Dr, Tyler, TX 75701-2043 Ph: (903) 533-6312 | Dr Bruce Elkin Ellerin, MD 721 Clinic Dr, Tyler, TX 75701-2043 Ph: (903) 535-6312 |
R. Kent Walker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 Fax: 903-593-0559 | |
Prakash Gajera, Radiology Medicare: Medicare Enrolled Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 817-321-0404 | |
Timothy J Leihgeber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 | |
Alfred Llave, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 627 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-593-2539 Fax: 903-593-0559 | |
Kurt Stephen Reuland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 910, Tyler, TX 75701 Phone: 903-705-0072 Fax: 903-705-0068 | |
Dr. Michael David Williams, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 910, Tyler, TX 75701 Phone: 903-705-0072 Fax: 903-705-0068 | |
Dr. Melinda Faye Coker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St Ste 650, Tyler, TX 75702 Phone: 903-606-5300 |