Peter Daniel Obesso, DO | |
120 E Charnwood St, Suite B, Tyler, TX 75701-1708 | |
(903) 525-1664 | |
Not Available |
Full Name | Peter Daniel Obesso |
---|---|
Gender | Male |
Speciality | Sleep Medicine |
Experience | 15 Years |
Location | 120 E Charnwood St, 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 |
---|---|---|---|
1356577787 | NPI | - | NPPES |
752616977028 | Other | TX | TRICARE |
752616977002 | Other | TX | TRICARE |
752616977001 | Other | TX | TRICARE |
P01246236 | Other | TX | RAIL ROAD |
323899001 | Medicaid | TX | |
75-2616977-120 | Other | TX | TRICARE |
752616977015 | Other | TX | TRICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0012X | Internal Medicine - Sleep Medicine | P7011 (Texas) | Primary |
207RS0012X | Internal Medicine - Sleep Medicine | OS11800 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Christus Trinity Clinic | 3072426741 | 1217 |
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 |
Mailing Address | Practice Location Address |
---|---|
Peter Daniel Obesso, DO Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Peter Daniel Obesso, DO 120 E Charnwood St, Suite B, Tyler, TX 75701-1708 Ph: (903) 525-1664 |
Ifeatu Uchenna Oti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128 | |
Preetham Reddy Muskula, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715 | |
Dr. Varalaxmi Bhavani Nannaka, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901 | |
David A Brickey, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914 | |
Randy Craig Randall, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063 | |
Nabeel K Ahmed, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128 | |
Rodolfo Amaro-galvez, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7072 Fax: 903-877-5838 |