Tom R Basye, MD | |
7905 Milwaukee Ave, Lubbock, TX 79424-0616 | |
(806) 368-5837 | |
(806) 368-5852 |
Full Name | Tom R Basye |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 7905 Milwaukee Ave, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629159603 | NPI | - | NPPES |
14148509 | Other | CAQH | |
200033550A | Medicaid | OK | |
774417 | Other | TX | MEDICARE |
104571802 | Medicaid | TX | |
41289056 | Medicaid | NM | |
104571805 | Medicaid | TX | |
81120S | Other | TX | BLUE CROSS & BLUE SHIELD |
8KN294 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | K5066 (Texas) | Primary |
Entity Name | Covenant Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563 |
Mailing Address | Practice Location Address |
---|---|
Tom R Basye, MD 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844 | Tom R Basye, MD 7905 Milwaukee Ave, Lubbock, TX 79424-0616 Ph: (806) 368-5837 |
Lillian Amezquita, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8200 | |
Dr. Shelton Ray Jackson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4407 87th St, Lubbock, TX 79424 Phone: 806-783-0904 Fax: 806-783-0904 | |
Scott Alan Letbetter Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-2233 | |
Mr. Bharat Bhushan, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-761-0878 | |
Nagarjun Narra, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-4288 | |
Dr. Conrad Bryson Bowman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-9700 | |
Samuel B Herrera, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4000 24th St, Lubbock, TX 79410 Phone: 806-725-0030 |