Shanna Burris Meads, MD | |
1367 Dominion Plz, Tyler, TX 75703-1013 | |
(903) 534-6200 | |
Not Available |
Full Name | Shanna Burris Meads |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 24 Years |
Location | 1367 Dominion Plz, Tyler, 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 |
---|---|---|---|
1023054624 | NPI | - | NPPES |
173749601 | Medicaid | TX | |
P00228994 | Other | TX | RAILROAD MEDICARE PTAN |
8A2684 | Other | TX | BLUE CROSS AND BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | M0820 (Texas) | Primary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | M0820 (Texas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epiphany Dermatology Pa | 3971827791 | 68 |
Entity Name | Oliver Street 5.01(a) Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
Entity Name | Epiphany Dermatology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
Mailing Address | Practice Location Address |
---|---|
Shanna Burris Meads, MD 1367 Dominion Plz, Tyler, TX 75703-1013 Ph: () - | Shanna Burris Meads, MD 1367 Dominion Plz, Tyler, TX 75703-1013 Ph: (903) 534-6200 |
Stephen John Beck, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1367 Dominion Plz, Tyler, TX 75703 Phone: 903-534-6200 Fax: 903-939-0755 | |
Bradley Scott Graham, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plaza, Tyler, TX 75703 Phone: 903-534-6200 | |
Alma Criseida Berlingeri Ramos, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plz, Tyler, TX 75703 Phone: 903-534-6200 Fax: 903-939-0755 | |
Elizabeth Stripling Morris, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1367 Dominion Plaza, Tyler, TX 75703 Phone: 903-534-6200 | |
Lawrence Lazelle Anderson, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1367 Dominion Plaza, Tyler, TX 75703 Phone: 903-534-6200 | |
Thomas Lambert Jr., MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5791 Copeland Rd, Tyler, TX 75703 Phone: 903-509-2020 |