Dr Kevin Edward Schlicksup, MD | |
590 Medical Center Rd., Carl R. Darnall Army Medical Center, Dem, Fort Cavazos, TX 76544-5060 | |
(254) 553-1371 | |
Not Available |
Full Name | Dr Kevin Edward Schlicksup |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 590 Medical Center Rd., Fort Cavazos, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346477437 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | P4245 (Texas) | Primary |
207PE0004X | Emergency Medicine - Emergency Medical Services | P4245 (Texas) | Secondary |
Entity Name | Longhorn Emergency Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
Mailing Address | Practice Location Address |
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Dr Kevin Edward Schlicksup, MD 590 Medical Center Rd., Carl R. Darnall Army Medical Center, Dem, Fort Cavazos, TX 76544-5060 Ph: (254) 553-1371 | Dr Kevin Edward Schlicksup, MD 590 Medical Center Rd., Carl R. Darnall Army Medical Center, Dem, Fort Cavazos, TX 76544-5060 Ph: (254) 553-1371 |
Tyler John Hummel, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 435-668-3103 Fax: 915-742-6668 | |
Reagan Dehnbostel, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Alec Pawlukiewicz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Dr. Cameron Seth Wolterstorff, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Fort Cavazos, TX 98431 Phone: 254-288-8000 | |
Dr. Justin Lee Case, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 761 Tank Battalion, Fort Cavazos, TX 76544 Phone: 254-618-8040 | |
Dr. Jonathan Srichandra, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-553-1363 |