Elias I Fanous Jr, MD | |
700 Olympic Plaza Cir, Ste 508, Tyler, TX 75701-1951 | |
(903) 526-3030 | |
(903) 526-3036 |
Full Name | Elias I Fanous Jr |
---|---|
Gender | Male |
Speciality | Gastroenterology |
Experience | 39 Years |
Location | 700 Olympic Plaza Cir, Tyler, 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 |
---|---|---|---|
1760478689 | NPI | - | NPPES |
151497801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | H8030 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
Round Rock Medical Center | Round rock, TX | Hospital |
Ut Health East Texas Jacksonville Hospital | Jacksonville, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Elias I Fanous Jr Md Pa | 6507844685 | 2 |
Entity Name | Elias I Fanous Jr Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982880647 PECOS PAC ID: 6507844685 Enrollment ID: O20040713001607 |
Mailing Address | Practice Location Address |
---|---|
Elias I Fanous Jr, MD 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701-1952 Ph: (903) 526-3030 | Elias I Fanous Jr, MD 700 Olympic Plaza Cir, Ste 508, Tyler, TX 75701-1951 Ph: (903) 526-3030 |
Ifeatu Uchenna Oti, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128 | |
Preetham Reddy Muskula, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715 | |
Dr. Varalaxmi Bhavani Nannaka, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901 | |
David A Brickey, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914 | |
Randy Craig Randall, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063 | |
Nabeel K Ahmed, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128 | |
Rodolfo Amaro-galvez, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7072 Fax: 903-877-5838 |