Dr Charles Auborn Lively, MD | |
608 N Muskingum Ave, Odessa, TX 79761-4539 | |
(432) 580-9168 | |
(432) 580-8221 |
Full Name | Dr Charles Auborn Lively |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 36 Years |
Location | 608 N Muskingum Ave, Odessa, 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 |
---|---|---|---|
1326062589 | NPI | - | NPPES |
123169804 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | H6384 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Odessa Regional Medical Center | Odessa, TX | Hospital |
Entity Name | Charles A Lively Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437363926 PECOS PAC ID: 3971635772 Enrollment ID: O20100714000470 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Auborn Lively, MD 608 N Muskingum Ave, Odessa, TX 79761-4539 Ph: (432) 580-9168 | Dr Charles Auborn Lively, MD 608 N Muskingum Ave, Odessa, TX 79761-4539 Ph: (432) 580-9168 |
Ghassan N Fanous, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 540 W 5th St, Suite 420, Odessa, TX 79761 Phone: 432-582-2280 Fax: 432-331-9981 | |
Dr. Eliseo Rivera, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8221 San Antonio St, Odessa, TX 79765 Phone: 432-272-4382 Fax: 432-272-4382 | |
Mrs. Kamal Nalin Tolia, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6005 Eastridge Rd, Suite 110, Odessa, TX 79762 Phone: 432-362-3626 Fax: 432-366-3363 | |
Dr. Christopher G Maguire, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-5233 Fax: 432-335-5219 | |
Dr. Christopher Atsaboghena Enakpene, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222 Fax: 432-335-5240 | |
Dr. Jorge D Blanco, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 420 E 6th St Ste 202, Odessa, TX 79761 Phone: 432-582-8757 Fax: 432-582-8928 | |
John Robert Molland, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 601 N Tom Green Ave, Odessa, TX 79761 Phone: 432-334-7888 Fax: 432-334-9949 |