Jacob Hayes, MD | |
4015 22nd St, Lubbock, TX 79410-1115 | |
(806) 725-0030 | |
(806) 725-0015 |
Full Name | Jacob Hayes |
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Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 4015 22nd St, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104271956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 2019010646 (Missouri) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | T5123 (Texas) | Primary |
Entity Name | Covenant Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563 |
Mailing Address | Practice Location Address |
---|---|
Jacob Hayes, MD 1465 S Grand Blvd, Saint Louis, MO 63104-1003 Ph: (314) 577-5634 | Jacob Hayes, MD 4015 22nd St, Lubbock, TX 79410-1115 Ph: (806) 725-0030 |
Weerapong Lilitwat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8813 Fax: 806-775-9182 | |
Claire Cooper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5410 114th St, Lubbock, TX 79424 Phone: 806-853-5233 | |
Sara Al Dogom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2669 | |
Laszlo Nagy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4102 24th St Ste 504, Lubbock, TX 79410 Phone: 806-743-7700 Fax: 806-743-7703 | |
Dr. Jane Elizabeth Wheeler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4617 92nd St, Lubbock, TX 79424 Phone: 806-794-0246 | |
Dr. Douglas Klepper, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7501 Quaker Ave, Lubbock, TX 79424 Phone: 806-793-7257 Fax: 806-799-1568 | |
Dr. Leopoldo Amansec Cabrera, M.D., F.A.A.P. Pediatrics Medicare: Medicare Enrolled Practice Location: 542419th St, Ste 200, Lubbock, TX 79407 Phone: 806-722-4453 Fax: 806-722-4461 |