Wanda M Northam, MD | |
4800 Texas Blvd Ste 100, Texarkana, TX 75503-3033 | |
(318) 222-8421 | |
(318) 673-9972 |
Full Name | Wanda M Northam |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 37 Years |
Location | 4800 Texas Blvd Ste 100, Texarkana, 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 |
---|---|---|---|
1780684183 | NPI | - | NPPES |
119308001 | Medicaid | AR | |
047789501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | J0619 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charles E Lyon, Md, Apmc | 1850370099 | 3 |
Entity Name | Charles E Lyon, Md, Apmc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689789562 PECOS PAC ID: 1850370099 Enrollment ID: O20080424000104 |
Mailing Address | Practice Location Address |
---|---|
Wanda M Northam, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (318) 222-8421 | Wanda M Northam, MD 4800 Texas Blvd Ste 100, Texarkana, TX 75503-3033 Ph: (318) 222-8421 |
Dr. Lewis C Cook, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2323 Kennedy Ln, Texarkana, TX 75503 Phone: 903-793-2020 Fax: 903-793-7481 | |
Mr. Charles Neal Thornton, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5402 Summerhill Rd, Texarkana, TX 75503 Phone: 903-614-3937 Fax: 903-614-3525 | |
Eugene T Ellison Jr., MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5402 Summerhill Rd, Texarkana, TX 75503 Phone: 903-614-3937 Fax: 903-614-3525 | |
Joshua Wiggins, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1727 Galleria Oaks Dr, Texarkana, TX 75503 Phone: 903-792-2020 Fax: 903-792-2028 | |
Dr. Margaret Hubbell, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5402 Summerhill Rd, Texarkana, TX 75503 Phone: 903-614-3937 Fax: 903-614-3525 |