Dr Kam Ip, MD | |
150 River North Blvd, Stephenville, TX 76401-1803 | |
(254) 968-6051 | |
(254) 968-4204 |
Full Name | Dr Kam Ip |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 150 River North Blvd, Stephenville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174529523 | NPI | - | NPPES |
115783100 | Other | TX | FIRST CARE PROVIDER NUMBE |
814737 | Other | TX | BCBS PROVIDER NUMBER |
4362776 | Other | TX | AETNA PROVIDER NUMBER |
1840110 | Other | TN | CIGNA PROVIDER NUMBER |
9300160802 | Other | TX | RAILROAD MEDICARE |
134110903 | Medicaid | TX | |
98464611 | Other | TX | UNITED HEALTHCARE PROV NO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E9244 (Texas) | Primary |
Entity Name | Stephenville Medical And Surgical Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912902826 PECOS PAC ID: 3779578612 Enrollment ID: O20040419001313 |
Mailing Address | Practice Location Address |
---|---|
Dr Kam Ip, MD 150 River North Blvd, Stephenville, TX 76401-1803 Ph: (254) 968-6051 | Dr Kam Ip, MD 150 River North Blvd, Stephenville, TX 76401-1803 Ph: (254) 968-6051 |
Leslie Shane Gilliam, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 E Frey St Ste 201, Stephenville, TX 76401 Phone: 254-965-2313 Fax: 254-965-2363 | |
Clayton K Roberts, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 Fax: 254-968-4950 | |
Dr. Ruth Reeves, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 135 River North Blvd, Stephenville, TX 76401 Phone: 254-965-2810 Fax: 254-965-5440 | |
Dr. Kelly Smith Doggett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2216 W Washington St, Stephenville, TX 76401 Phone: 254-965-5888 | |
Dr. Marilyn Brister, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 411 N Belknap St, Stephenville, TX 76401 Phone: 254-965-1500 | |
Dr. Benjamin Austin Marcum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 Fax: 254-968-4950 |