Dr Charles W Ball Jr, MD | |
1409 Mccann Rd, Longview, TX 75601-3852 | |
(903) 470-8100 | |
(903) 470-8101 |
Full Name | Dr Charles W Ball Jr |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1409 Mccann Rd, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720020738 | NPI | - | NPPES |
104981001 | Medicaid | AR | |
626001636 | Other | TN | UNITED HEALTHCARE |
10027028 | Other | TN | UAHC |
626001636 | Other | TN | USA MANAGED CARE |
626001636 | Other | TN | BHSG |
04629898 | Medicaid | MS | |
3825644 | Medicaid | TN | |
4135427 | Other | TN | BLUE CROSS BLUE SHIELD |
2416091 | Other | TN | CIGNA |
626001636 | Other | TN | HEALTH NOW |
39809 | Other | TN | TLC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C-5265 (Arkansas) | Secondary |
207Q00000X | Family Medicine | T1294 (Texas) | Primary |
Entity Name | Correct Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20041207001183 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles W Ball Jr, MD 1409 Mccann Rd, Longview, TX 75601-3852 Ph: (903) 470-8100 | Dr Charles W Ball Jr, MD 1409 Mccann Rd, Longview, TX 75601-3852 Ph: (903) 470-8100 |
Dr. Ravikumar Hanumanthaiah Edalur, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 1005 N Eastman Rd, None, Longview, TX 75601 Phone: 903-239-1518 Fax: 903-247-8273 | |
Marco Antonio Chavez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8176 | |
John Layton Wright Jr., D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 802 Medical Dr Ste 401, Longview, TX 75605 Phone: 903-553-7670 | |
George Kenneth Marshall, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 717 N 4th St, Longview, TX 75601 Phone: 903-758-3441 Fax: 903-758-5995 | |
Venkata Amarendra Mangalagiri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Walnut Hill Dr, Longview, TX 75605 Phone: 903-759-7200 | |
Sarah Chavez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 805 Medical Dr, Longview, TX 75605 Phone: 903-232-8100 Fax: 903-232-8115 | |
Ketki Patel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2010 Bill Owens Pkwy, Longview, TX 75604 Phone: 903-247-3400 |