Dr Jackie Allen Hayes, MD | |
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
(210) 916-1311 | |
Not Available |
Full Name | Dr Jackie Allen Hayes |
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Gender | Male |
Speciality | Internal Medicine - Pulmonary Disease |
Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255321766 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RP1001X | Internal Medicine - Pulmonary Disease | 12121 (Mississippi) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | N2560 (Texas) | Primary |
Entity Name | Select Specialty Hospital - Gulf Coast Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518967280 PECOS PAC ID: 8426965203 Enrollment ID: O20080826000118 |
Mailing Address | Practice Location Address |
---|---|
Dr Jackie Allen Hayes, MD 3551 Roger Brooke Dr, Brooke Army Medical Center Mche-qd/ Credentials, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-2460 | Dr Jackie Allen Hayes, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-1311 |
Dr. Benjamin Lee Hughes, DO Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-2153 Fax: 210-916-0709 | |
Dr. Rosemary Chacko, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 Fax: 210-916-5102 | |
Andre John Ognibene, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-5993 | |
Christopher Paul Irwin, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 916-210-2338 | |
Gilbert Patrick Ancira, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4808 | |
Sarah Dang, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-7074 | |
Dr. Raul A. Rivera, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Brooke Army Medical Center Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-2460 |