Dr Ryan Rogers Pevey, MD | |
707 Hollybrook Dr, Longview, TX 75605-2410 | |
(903) 234-1830 | |
(903) 753-6634 |
Full Name | Dr Ryan Rogers Pevey |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 19 Years |
Location | 707 Hollybrook Dr, Longview, 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 |
---|---|---|---|
1720297765 | NPI | - | NPPES |
214484203 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | N5334 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Longview Regional Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Associated Clinicians Of East Texas | 4789957440 | 96 |
Entity Name | Regional Clinics Of Longview |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407047863 PECOS PAC ID: 7214016559 Enrollment ID: O20080512000372 |
Entity Name | Associated Clinicians Of East Texas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932640349 PECOS PAC ID: 4789957440 Enrollment ID: O20170831003007 |
Mailing Address | Practice Location Address |
---|---|
Dr Ryan Rogers Pevey, MD Po Box 610393, Dallas, TX 75261-0393 Ph: (903) 291-6187 | Dr Ryan Rogers Pevey, MD 707 Hollybrook Dr, Longview, TX 75605-2410 Ph: (903) 234-1830 |
Dustin Max Mcdermott, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave, Suite 3000, Longview, TX 75601 Phone: 903-315-2762 Fax: 903-315-2595 | |
Dr. Christine C Moulds-merritt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6022 Fax: 903-291-6021 | |
Shamarick Gaston Blue, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 409 N 6th St, Longview, TX 75601 Phone: 903-315-5520 Fax: 903-663-6371 | |
Marvin B Holcomb, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave, Suite 3000, Longview, TX 75601 Phone: 903-315-2762 Fax: 903-315-2595 | |
Dr. Gary R Jacobs, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 703 E Marshall Ave, #4008, Longview, TX 75601 Phone: 903-753-2276 Fax: 903-753-7420 | |
David Jayakar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 707 Hollybrook Dr, Longview, TX 75605 Phone: 903-291-6191 Fax: 903-291-6155 | |
Dr. Randy Loren Morton, MD Surgery Medicare: Medicare Enrolled Practice Location: 3209 N 4th St, Suite 300, Longview, TX 75605 Phone: 903-753-7205 Fax: 903-238-8862 |