Gerald Gene Payne Jr, MD | |
1600 W College St, Ste 210, Grapevine, TX 76051-3580 | |
(817) 481-0111 | |
(817) 481-0112 |
Full Name | Gerald Gene Payne Jr |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology - Maternal & Fetal Medicine |
Location | 1600 W College St, Grapevine, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407821366 | NPI | - | NPPES |
135806115 | Medicaid | TX | |
74999 | Other | TX | AMERIGROUP |
135806110 | Medicaid | TX | |
4292523 | Other | TX | AETNA |
135806109 | Medicaid | TX | |
8H3361 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | G3678 (Texas) | Primary |
Entity Name | Acclaim Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
---|---|
Gerald Gene Payne Jr, MD Po Box 100186, Fort Worth, TX 76185-0186 Ph: (817) 731-7771 | Gerald Gene Payne Jr, MD 1600 W College St, Ste 210, Grapevine, TX 76051-3580 Ph: (817) 481-0111 |
Mrs. Sofia Ana Lieser, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St Ste 540, Grapevine, TX 76051 Phone: 817-481-5863 Fax: 817-329-8561 | |
Michael N Sims, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1600 W College St, #540, Grapevine, TX 76051 Phone: 817-481-5863 Fax: 817-329-8561 | |
Robert B Wai, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 W College, #540, Grapevine, TX 76051 Phone: 817-481-5863 Fax: 817-329-8561 | |
Dr. Angelo C Mendez, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1600 W College St, Ste 340, Grapevine, TX 76051 Phone: 817-329-0389 Fax: 817-421-1416 | |
Doreen A Moser, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Ste 260, Grapevine, TX 76051 Phone: 817-310-3775 | |
Carrie Phelps Morris, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Ste 540, Grapevine, TX 76051 Phone: 817-481-5863 Fax: 817-329-8561 | |
Dr. Timothy J Rost, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Ste 340, Grapevine, TX 76051 Phone: 817-329-0389 Fax: 817-421-1416 |