Ellisiv Lien, MD | |
2737 S Broadway Ave, Tyler, TX 75701-5413 | |
(903) 592-6000 | |
(903) 592-3224 |
Full Name | Ellisiv Lien |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 25 Years |
Location | 2737 S Broadway Ave, Tyler, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265670749 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | N1735 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charles R. Gordon., Md, Pa | 8729992052 | 24 |
Entity Name | Charles R. Gordon., Md, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982717955 PECOS PAC ID: 8729992052 Enrollment ID: O20031206000131 |
Mailing Address | Practice Location Address |
---|---|
Ellisiv Lien, MD Po Box 6605, Tyler, TX 75711-6605 Ph: (903) 592-6000 | Ellisiv Lien, MD 2737 S Broadway Ave, Tyler, TX 75701-5413 Ph: (903) 592-6000 |
Dr. Bradley S Merritt, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3131 Troup Hwy, Tyler, TX 75701 Phone: 903-510-7006 | |
Mr. Chad Joseph Mcneil, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3414 Golden Rd, Tyler, TX 75701 Phone: 903-939-7500 Fax: 903-939-7728 | |
Dr. Catherine M Fieseler, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-510-8840 | |
Jorge Ivan Garcia, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 910 E Houston St, Ste 330, Tyler, TX 75702 Phone: 903-525-7995 | |
Dr. James Edward Applebury, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 6546 Wheaton Ct, Tyler, TX 75703 Phone: 903-969-0143 | |
Dr. Janine Coles Islam, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 4295 Kinsey Dr, Tyler, TX 75703 Phone: 903-526-5000 Fax: 903-526-5006 |