Liana H Proffer, MD | |
1611 Wallace Blvd, Amarillo, TX 79106-1799 | |
(806) 354-4900 | |
(806) 352-4987 |
Full Name | Liana H Proffer |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 28 Years |
Location | 1611 Wallace Blvd, Amarillo, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891770046 | NPI | - | NPPES |
8V1240 | Other | TX | BLUE CROSS BLUE SHIELD |
187150101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | K6910 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Proffer Surgical Associates, Llp | 3678579232 | 4 |
Entity Name | Proffer Surgical Associates, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164441333 PECOS PAC ID: 3678579232 Enrollment ID: O20061005000041 |
Mailing Address | Practice Location Address |
---|---|
Liana H Proffer, MD 1611 Wallace Blvd, Amarillo, TX 79106-1799 Ph: (806) 354-4900 | Liana H Proffer, MD 1611 Wallace Blvd, Amarillo, TX 79106-1799 Ph: (806) 354-4900 |
Dr. Jason Kyle Jones, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4302 Wolflin Ave, Amarillo, TX 79106 Phone: 806-355-9866 | |
Summer Clark, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1611 Wallace Blvd, Amarillo, TX 79106 Phone: 063-544-9008 | |
Dr. William Robert East, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1901 Medi-park, Suite 6, Amarillo, TX 79106 Phone: 806-355-7421 Fax: 806-358-2381 | |
Christi Anne Baker, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4302 Wolflin Ave, Amarillo, TX 79106 Phone: 806-355-9866 Fax: 806-355-4004 | |
Elaine Remmers Cook, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2609 Wolflin Vlg, Amarillo, TX 79109 Phone: 806-358-1117 | |
Dr. Tyler Enos, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4302 Wolflin Ave, Amarillo, TX 79106 Phone: 806-355-9866 | |
Dr. James Keith Yeary, MD Dermatology Medicare: Medicare Enrolled Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 806-355-9703 Fax: 806-468-1513 |