Dr Matthew Todd Proctor, MD | |
2026 S Jackson St, Jacksonville, TX 75766-5822 | |
(903) 586-5678 | |
Not Available |
Full Name | Dr Matthew Todd Proctor |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 24 Years |
Location | 2026 S Jackson St, Jacksonville, 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 |
---|---|---|---|
1164451407 | NPI | - | NPPES |
160029802 | Medicaid | TX | |
P00688868 | Other | TX | RAIL ROAD |
P01304431 | Other | TX | RAIL ROAD |
160029801 | Medicaid | TX | |
752616977113 | Other | TX | TRICARE |
75-2616977-113 | Other | TX | TRICARE |
8DZ886 | Other | TX | BCBS BLUE |
152404312 | Medicaid | TX | |
75-2616977-002 | Other | TX | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L3209 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Angels Care Home Health | Palestine, TX | Home health agency |
Christus Homecare | Tyler, TX | Home health agency |
At Home Healthcare | Henderson, TX | Home health agency |
Christus Mother Frances Hospital- Jacksonville | Jacksonville, TX | Hospital |
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
Mother Frances Hospital Jacksonville | 5597751024 | 30 |
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 |
Entity Name | Mother Frances Hospital Jacksonville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
Entity Name | Mother Frances Hospital Regional Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Todd Proctor, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Dr Matthew Todd Proctor, MD 2026 S Jackson St, Jacksonville, TX 75766-5822 Ph: (903) 586-5678 |
Dr. Kenya Sekoni Etim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 203 Nacogdoches St Ste 280, Jacksonville, TX 75766 Phone: 903-541-5396 | |
Richard M Viken, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Craig C Weaver, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2026 S Jackson, Jacksonville, TX 75766 Phone: 903-586-5678 | |
William Milawski, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 | |
Dr. Ryan Dean Ford, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-541-4599 | |
Dr. Alison Collins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2026 S Jackson St, Jacksonville, TX 75766 Phone: 903-586-5678 |