Dr Shawn D Pierce, MD | |
833 S Beckham Ave, Tyler, TX 75701-1905 | |
(903) 780-4396 | |
Not Available |
Full Name | Dr Shawn D Pierce |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 833 S Beckham Ave, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023041969 | NPI | - | NPPES |
1119711-09 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | J4440 (Texas) | Secondary |
207Q00000X | Family Medicine | J4440 (Texas) | Primary |
Entity Name | Health And Human Services Commission |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
Mailing Address | Practice Location Address |
---|---|
Dr Shawn D Pierce, MD Po Box 2100, Flint, TX 75762-2100 Ph: (903) 780-4396 | Dr Shawn D Pierce, MD 833 S Beckham Ave, Tyler, TX 75701-1905 Ph: (903) 780-4396 |
Dr. John W Scroggins, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 | |
Dr. James Kent Gray, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14843 Big Oak Bay Rd, Tyler, TX 75707 Phone: 903-655-0880 Fax: 903-654-6415 | |
Dr. Eric R Smith, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3802 Manhatton, Tyler, TX 75701 Phone: 903-509-8888 | |
Michele C Bosworth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777 Fax: 903-877-5080 | |
Dr. James A Lively, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3802 Manhatton Dr, Tyler, TX 75701 Phone: 903-509-8888 | |
Steven J Cohen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8764 | |
Andrea M Ellis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8288 S Broadway Ave, Tyler, TX 75703 Phone: 903-606-7060 |