Thaddeus Rex Tolleson, MD | |
619 S Fleishel Ave, Suite 101, Tyler, TX 75701-2004 | |
(903) 595-5514 | |
Not Available |
Full Name | Thaddeus Rex Tolleson |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 31 Years |
Location | 619 S Fleishel Ave, 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 |
---|---|---|---|
1912992082 | NPI | - | NPPES |
221985502 | Other | TX | UNITED HEALTHCARE |
8G7380 | Other | TX | BCBS |
8V5491 | Other | TX | BCBS TRINITY |
154221901 | Medicaid | TX | |
7773430 | Other | TX | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | J6770 (Texas) | Secondary |
207RI0011X | Internal Medicine - Interventional Cardiology | J6770 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Beauregard Memorial Hospital | Deridder, LA | Hospital |
Ut Health East Texas Henderson Hospital | Henderson, TX | Hospital |
Ut Health East Texas Jacksonville Hospital | Jacksonville, TX | Hospital |
Byrd Regional Hospital | Leesville, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West Louisiana Health Services Inc | 5799680245 | 10 |
Entity Name | West Louisiana Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164985495 PECOS PAC ID: 5799680245 Enrollment ID: O20110216000789 |
Mailing Address | Practice Location Address |
---|---|
Thaddeus Rex Tolleson, MD 619 S Fleishel Ave, Suite 101, Tyler, TX 75701-2004 Ph: (903) 595-5514 | Thaddeus Rex Tolleson, MD 619 S Fleishel Ave, Suite 101, Tyler, TX 75701-2004 Ph: (903) 595-5514 |
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 |