Dr Justin T Gathercoal, DO | |
17th Medical Operations Squadron, Goodfellow Afb, San Angelo, TX 76908 | |
(325) 654-3075 | |
Not Available |
Full Name | Dr Justin T Gathercoal |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 17 Years |
Location | 17th Medical Operations Squadron, San Angelo, 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 |
---|---|---|---|
1861705865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS014673 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin T Gathercoal, DO 271 Port Richardson Ave, Goodfellow Afb, San Angelo, TX 76908 Ph: () - | Dr Justin T Gathercoal, DO 17th Medical Operations Squadron, Goodfellow Afb, San Angelo, TX 76908 Ph: (325) 654-3075 |
Irvin E. Zeitler Jr., DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Gary P Phillips, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Jack P Campbell, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2626 N Bryant Blvd, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 | |
Seth Sturdivant, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-6410 | |
Darrell T Herrington, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-949-9555 | |
Christopher C Peterson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-245-4059 Fax: 325-245-4059 | |
Mrs. Ashley Nicole Stovall, MSN, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 Sunset Dr, San Angelo, TX 76904 Phone: 325-747-2660 Fax: 325-747-2665 |