Paul M Fanning, MD | |
1720 S Beckham Ave Ste 104, Tyler, TX 75701-4464 | |
(903) 597-2002 | |
Not Available |
Full Name | Paul M Fanning |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 32 Years |
Location | 1720 S Beckham Ave Ste 104, 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 |
---|---|---|---|
1972577419 | NPI | - | NPPES |
1972577419 | Medicaid | TX | |
123074 | Other | TX | SUPERIOR HEALTH CHIPS |
75-2616977-136 | Other | TX | TRICARE |
129809306 | Medicaid | TX | |
45-2578435-002 | Other | TX | TRICARE |
83Y684 | Other | TX | BCBS OF TEXAS |
5623482 | Other | TX | AETNA |
P01572864 | Other | TX | RAIL ROAD MEDICARE |
752616977022 | Other | TX | HUMAN SOUTH MILITARY TRICARE |
8FM313 | Other | TX | BCBS |
129809302 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | J6425 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Mother Frances Hospital | Tyler, TX | Hospital |
The University Of Texas Health Science Center At Tyler | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
University Of Texas Health Science Center At Tyler-facility-physician | 4981699220 | 95 |
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 | University Of Texas Health Science Center At Tyler-facility-physician |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063400778 PECOS PAC ID: 4981699220 Enrollment ID: O20040416001048 |
Mailing Address | Practice Location Address |
---|---|
Paul M Fanning, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Paul M Fanning, MD 1720 S Beckham Ave Ste 104, Tyler, TX 75701-4464 Ph: (903) 597-2002 |
Ralph James Turner, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 825 Medical Dr Ste A, Tyler, TX 75701 Phone: 903-758-2610 Fax: 903-758-7081 | |
Dr. Heather Lynn Scott Pulaski, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 501 Saunders Ave Ste 310, Tyler, TX 75702 Phone: 903-579-9800 Fax: 903-592-5988 | |
Dr. James Brant Buchinger, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 520 Douglas Blvd, Tyler, TX 75702 Phone: 903-597-2002 Fax: 903-525-2778 | |
Dr. Jessica Clifton Charest, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 700 Olympic Plaza Cir Ste 602, Tyler, TX 75701 Phone: 903-593-2468 Fax: 903-525-3631 | |
Elise Alexandra Elliott, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2017 Rickety Ln, Tyler, TX 75703 Phone: 903-533-8811 | |
Mojirayo A. Sarumi, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 620 S Fleishel Ave, Tyler, TX 75701 Phone: 903-606-4900 Fax: 903-606-4699 | |
Dr. William W Miller, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1720 S Beckham Ave Ste 104, Tyler, TX 75701 Phone: 903-593-1721 |