Tricia C Elliott, MD | |
301 University Blvd, Galveston, TX 77555-1385 | |
(409) 772-2166 | |
(409) 772-2663 |
Full Name | Tricia C Elliott |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 301 University Blvd, Galveston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467548743 | NPI | - | NPPES |
161919901 | Medicaid | TX | |
161919902 | Medicaid | TX | |
161919904 | Medicaid | TX | |
161919903 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L7367 (Texas) | Primary |
Entity Name | Acclaim Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
---|---|
Tricia C Elliott, MD 301 University Blvd, Galveston, TX 77555-1385 Ph: (409) 772-2166 | Tricia C Elliott, MD 301 University Blvd, Galveston, TX 77555-1385 Ph: (409) 772-2166 |
Angela J Shepherd, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-744-4030 Fax: 409-740-4187 | |
Mashhoor Beragdar, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Department Of Geriatric Medicine, Mail Route 0177, Galveston, TX 77555 Phone: 409-266-9634 Fax: 409-747-3585 | |
Dr. Eladio Camarillo Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2166 Fax: 409-772-2663 | |
Victor S Sierpina, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-744-4030 Fax: 409-740-4187 | |
Andrew Janicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2166 Fax: 409-772-2663 | |
Eguono Ejayeriese, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Harborside Dr, Galveston, TX 77550 Phone: 409-772-2166 | |
Jennifer R Raley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 281-614-1256 Fax: 281-614-1587 |