James A Caccitolo, MD | |
703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 | |
(903) 606-7525 | |
Not Available |
Full Name | James A Caccitolo |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 30 Years |
Location | 703 S Fleishel Ave, Tyler, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528074317 | NPI | - | NPPES |
121217 | Other | TX | SUPERIOR CHIPS |
TIN PLUS 049 | Other | TX | TRICARE |
165486503 | Medicaid | TX | |
TIN PLUS 039 | Other | TX | TRICARE |
88869G | Other | TX | BCBS OF TEXAS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | L7997 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Homecare | Tyler, TX | Home health agency |
Encompass Home Health Of East Texas | Tyler, TX | Home health agency |
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
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 |
---|---|
James A Caccitolo, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | James A Caccitolo, MD 703 S Fleishel Ave, Ste 5000, Tyler, TX 75701-2015 Ph: (903) 606-7525 |
Andrea C Cooley, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701 Phone: 903-595-6680 Fax: 903-592-1934 | |
Dr. William R. Powell, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 910 E Houston St, Tyler, TX 75702 Phone: 903-525-2992 Fax: 903-592-1934 | |
Dr. Wendell S Phillips, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701 Phone: 903-595-6680 Fax: 903-592-1934 | |
Herbert D Short Iii, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 910 East Houston, Ste 530, Tyler, TX 75702 Phone: 903-525-2992 | |
Dr. Charles H. Lee, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 1000 E 5th St Ste 400, Tyler, TX 75701 Phone: 903-595-6680 Fax: 903-592-1934 | |
Dr. Tyrone M Galbreath, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 508, Tyler, TX 75701 Phone: 903-595-6680 |