Leo W Mack Jr, MD | |
5791 New Copeland Rd, Tyler, TX 75703-3905 | |
(903) 630-7007 | |
(903) 630-7072 |
Full Name | Leo W Mack Jr |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 55 Years |
Location | 5791 New Copeland Rd, 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 |
---|---|---|---|
1669443370 | NPI | - | NPPES |
135428409 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | E4001 (Texas) | Primary |
Entity Name | Leo W. Mack, Jr Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366619611 PECOS PAC ID: 1759606569 Enrollment ID: O20150218001485 |
Mailing Address | Practice Location Address |
---|---|
Leo W Mack Jr, MD 5791 New Copeland Rd, Tyler, TX 75703-3905 Ph: (903) 630-7007 | Leo W Mack Jr, MD 5791 New Copeland Rd, Tyler, TX 75703-3905 Ph: (903) 630-7007 |
Ronald J Pinkenburg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2440 E 5th St, Tyler, TX 75701 Phone: 903-595-0500 Fax: 903-595-2153 | |
Dr. Ming Lu, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-531-4733 | |
Gary L Womack, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 | |
Mrs. Rebecca O Jones, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-5491 | |
Dr. Jeremy Russell Cefalu, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 | |
Michael C. Ford, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 714 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-630-5037 Fax: 903-258-9643 | |
Mr. Charles Lawson Heaton, M. D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3415 Golden Rd, Tyler, TX 75701 Phone: 903-526-0444 Fax: 903-526-2051 |