Michael Shawn Lively, MD | |
710 Water St, Kerrville, TX 78028-5329 | |
(830) 258-7747 | |
Not Available |
Full Name | Michael Shawn Lively |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 21 Years |
Location | 710 Water St, Kerrville, 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 |
---|---|---|---|
1962460303 | NPI | - | NPPES |
8M6794 | Other | TX | BCBS |
180018702 | Other | TX | CSHCN |
180018701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | M3632 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Urgent Care Pa | 3072679828 | 122 |
Entity Name | Legacy Urgent Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
Entity Name | Premier Physicians - Ii Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801204656 PECOS PAC ID: 9234416744 Enrollment ID: O20170511000584 |
Mailing Address | Practice Location Address |
---|---|
Michael Shawn Lively, MD 1845 Foothills Dr, Kerrville, TX 78028-3873 Ph: (717) 246-9097 | Michael Shawn Lively, MD 710 Water St, Kerrville, TX 78028-5329 Ph: (830) 258-7747 |
Richard Mason, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 710 Water St, Kerrville, TX 78028 Phone: 830-258-7747 | |
Benjamin Travis Halloran, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: Peterson Regional Medical Center, 551 Hill Country Drive, Kerrville, TX 78028 Phone: 830-896-4200 | |
Benjamin Lucas Harper, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 W Main St, Kerrville, TX 78028 Phone: 830-258-7769 | |
Dr. Rondalea Ann Rhoades, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 551 Hill Country Dr, Peterson Regional Medical Center, Kerrville, TX 78028 Phone: 830-896-4200 | |
Alan D Moy, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 551 Hill Country Dr, Kerrville, TX 78028 Phone: 310-488-0669 | |
Alfred Carl Roschmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 218 Quinlan St # 372, Kerrville, TX 78028 Phone: 775-241-8553 Fax: 775-852-6902 | |
Eileen Marie Toloza-larson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 551 Hill Country Dr, Kerrville, TX 78028 Phone: 830-896-4200 |