Dustin Max Mcdermott, MD | |
703 E Marshall Ave, Suite 3000, Longview, TX 75601-5500 | |
(903) 315-2762 | |
(903) 315-2595 |
Full Name | Dustin Max Mcdermott |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 21 Years |
Location | 703 E Marshall Ave, 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 |
---|---|---|---|
1154387538 | NPI | - | NPPES |
P00923240 | Other | IN | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 01060359A (Indiana) | Secondary |
208600000X | Surgery | N3172 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Good Shepherd Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Mailing Address | Practice Location Address |
---|---|
Dustin Max Mcdermott, MD Po Box 4207, Longview, TX 75606-4207 Ph: (903) 315-2762 | Dustin Max Mcdermott, MD 703 E Marshall Ave, Suite 3000, Longview, TX 75601-5500 Ph: (903) 315-2762 |
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 |