Dr David Lyon Hackethorn, MD | |
1700 University Dr E, College Station, TX 77840 | |
(979) 691-3300 | |
(979) 691-3527 |
Full Name | Dr David Lyon Hackethorn |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 49 Years |
Location | 1700 University Dr E, College Station, 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 |
---|---|---|---|
1306806914 | NPI | - | NPPES |
807442 | Other | TX | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | E4377 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Dr David Lyon Hackethorn, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Dr David Lyon Hackethorn, MD 1700 University Dr E, College Station, TX 77840 Ph: (979) 691-3300 |
Joseph Jason Roman, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd, Suite 4880, College Station, TX 77845 Phone: 979-796-1111 Fax: 979-764-1164 | |
Ashley Annly Liou, DO Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 Fax: 979-207-2161 | |
Rajpreet Kaur Singh, D.O. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 Birmingham Rd Ste 200, College Station, TX 77845 Phone: 979-696-8000 Fax: 979-696-8100 | |
Dr. Natraj Aiyappan Shanmugam, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845 Phone: 979-696-5663 Fax: 979-694-1319 | |
Kaycee Leigh Weaver, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Daniel Philip Stagg Iii, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4000 Fax: 979-207-4562 | |
Dr. Thomas H. Meade, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1721 Birmingham Rd Ste 202, College Station, TX 77845 Phone: 979-446-0373 |