Dr John Richardson Wilcox Jr, MD | |
4777 Us Highway 259, Longview, TX 75605-7668 | |
(903) 663-4800 | |
(903) 663-0378 |
Full Name | Dr John Richardson Wilcox Jr |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 4777 Us Highway 259, 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 |
---|---|---|---|
1114920444 | NPI | - | NPPES |
8DB361 | Other | TX | BCBS TX |
134263610 | Medicaid | TX | |
134263613 | Medicaid | TX | |
P00995222 | Other | TX | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0204X | Radiology - Vascular & Interventional Radiology | F0824 (Texas) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | F0824 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Entity Name | Singleton Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
Entity Name | Texas Radiology Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427016161 PECOS PAC ID: 3779578000 Enrollment ID: O20040422001470 |
Entity Name | Radiology Associates Of North Texas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710970975 PECOS PAC ID: 7911897301 Enrollment ID: O20040617000531 |
Entity Name | North Star Mri Of Frisco Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20070821000328 |
Entity Name | North Star Diagnostic Imaging, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20100614000182 |
Entity Name | North Star Mri Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20110524000030 |
Entity Name | North Star Fm Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20110908001884 |
Entity Name | Eagle Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548450976 PECOS PAC ID: 9032205752 Enrollment ID: O20121031000252 |
Entity Name | North Star Fp Lp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20170816002017 |
Mailing Address | Practice Location Address |
---|---|
Dr John Richardson Wilcox Jr, MD Po Box 5316, Longview, TX 75608-5316 Ph: (903) 663-4800 | Dr John Richardson Wilcox Jr, MD 4777 Us Highway 259, Longview, TX 75605-7668 Ph: (903) 663-4800 |
Dr. Kevin Waye Mccrary, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2072 | |
Adam M Borowski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4777 Us Highway 259, Longview, TX 75605 Phone: 903-663-4800 Fax: 903-663-7394 | |
Dr. Carl Norman Miller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2901 4th St, Longview, TX 75605 Phone: 734-657-3868 | |
Charles Darren Duvall, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3660 | |
Dr. Bernard William Taylor Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1300 N 4th St, Longview, TX 75601 Phone: 903-757-2122 Fax: 903-757-9475 | |
Timothy Eugene Graham, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3660 |