Tynes Emery Mixon Iii, MD | |
426 Charles St, New Iberia, LA 70560-3707 | |
(337) 365-4156 | |
(337) 365-4192 |
Full Name | Tynes Emery Mixon Iii |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 34 Years |
Location | 426 Charles St, New Iberia, Louisiana |
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 |
---|---|---|---|
1962498683 | NPI | - | NPPES |
1680095 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0905X | Otolaryngology - Otolaryngology/facial Plastic Surgery | 020891 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Iberia Medical Center | New iberia, LA | Hospital |
Lafayette General Medical Center | Lafayette, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tynes Mixon, Iii Md Apmc | 8527062686 | 2 |
Entity Name | Tynes Mixon, Iii Md Apmc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720005754 PECOS PAC ID: 8527062686 Enrollment ID: O20060831000410 |
Mailing Address | Practice Location Address |
---|---|
Tynes Emery Mixon Iii, MD 426 Charles St, New Iberia, LA 70560-3707 Ph: (337) 365-4156 | Tynes Emery Mixon Iii, MD 426 Charles St, New Iberia, LA 70560-3707 Ph: (337) 365-4156 |
James C Walker, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2312 E Main St, St. A St., New Iberia, LA 70560 Phone: 337-364-9681 Fax: 337-367-9697 | |
Charles A Moore, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2308 E Main St Ste B, New Iberia, LA 70560 Phone: 337-369-3683 | |
Lizabeth F Clarke, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 426 Charles St, New Iberia, LA 70560 Phone: 337-365-4156 Fax: 337-365-4192 | |
Harold G Bienvenu Iii, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 426 Charles St, New Iberia, LA 70560 Phone: 337-365-4156 Fax: 337-365-4095 | |
Dr. Clyde Edward Landrum, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 41 Shadows Bend, New Iberia, LA 70563 Phone: 337-519-3399 Fax: 337-369-6829 | |
Monty Joseph Rizzo, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1100 Andre St, Ste 100, New Iberia, LA 70563 Phone: 337-365-3541 Fax: 337-365-0863 |