Gary W Williamson, MD | |
800 E Dawson St, Tyler, TX 75701-2036 | |
(903) 593-8441 | |
Not Available |
Full Name | Gary W Williamson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 800 E Dawson St, 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 |
---|---|---|---|
1851333850 | NPI | - | NPPES |
139811722 | Medicaid | TX | |
8CU714 | Other | TX | BCBS |
0042EJ | Other | TX | BCBS |
080126648 | Other | TX | RAIL ROAD |
75-0818167-022 | Other | TX | TRICARE |
75-0818167-048 | Other | TX | TRICARE |
8M5091 | Other | TX | BCBS |
TIN PLUS 044 | Other | TX | TRICARE WINNSBORO LOCATION |
75-2616977 | Other | TX | RAIL ROAD |
75-2616977-028 | Other | TX | TRICARE |
TIN PLUS 015 | Other | TX | TRICARE TYLER LOCATION |
139811714 | Medicaid | TX | |
75-2616977-001 | Other | TX | TRICARE |
139811724 | Medicaid | TX | |
75-2616977-002 | Other | TX | TRICARE |
139811723 | Medicaid | TX | |
TIN PLUS 005 | Other | TX | TRICARE |
139811721 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | F2120 (Texas) | Primary |
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 |
Entity Name | Mother Frances Hospital Jacksonville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
Entity Name | Mother Frances Hospital Regional Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
Mailing Address | Practice Location Address |
---|---|
Gary W Williamson, MD Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000 | Gary W Williamson, MD 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 593-8441 |
James Carr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4262 | |
Dr. Shawn D Pierce, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 833 S Beckham Ave, Tyler, TX 75701 Phone: 903-780-4396 | |
Dr. James Michael Wilson, MD, MPH Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914 | |
Dr. Dallas Wright, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4262 Fax: 903-531-5097 | |
Everett Dean Holley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4262 | |
Dr. Jackie Rose, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351 Fax: 903-592-5282 | |
Steven W Cooley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 270 Saddle Creek Dr, Tyler, TX 75703 Phone: 903-574-4341 |