Ifeanyi Emmanuel Elueze, MD PHD | |
103 W Loop 281, Suite 700, Longview, TX 75605-4653 | |
(903) 315-5600 | |
(903) 315-2757 |
Full Name | Ifeanyi Emmanuel Elueze |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 103 W Loop 281, Longview, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396734802 | NPI | - | NPPES |
2064788 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35073719 (Ohio) | Secondary |
207R00000X | Internal Medicine | P0046 (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 |
Mailing Address | Practice Location Address |
---|---|
Ifeanyi Emmanuel Elueze, MD PHD Po Box 4207, Longview, TX 75606-4207 Ph: (903) 315-5600 | Ifeanyi Emmanuel Elueze, MD PHD 103 W Loop 281, Suite 700, Longview, TX 75605-4653 Ph: (903) 315-5600 |
Zehra Hussain, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Stanislav Weiner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 703 E Marshall Ave Ste 5008, Longview, TX 75601 Phone: 903-315-4880 | |
John Odneal, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-5171 Fax: 903-315-1888 | |
Kayvan Kamali, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 Judson Rd, Longview, TX 75601 Phone: 903-236-7020 Fax: 903-236-7093 | |
Yashashree A Vegi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Michael Francis Broderick, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 2901 4th St, Longview, TX 75605 Phone: 903-758-1818 | |
Dr. Samir V Germanwala, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 709 Hollybrook Dr, Suite 2301, Longview, TX 75605 Phone: 903-757-4691 Fax: 903-757-4875 |