William L Fontenot, MD | |
709 Hollybrook Dr Ste 3401, Longview, TX 75605-2412 | |
(903) 753-1778 | |
(903) 753-7202 |
Full Name | William L Fontenot |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 30 Years |
Location | 709 Hollybrook Dr Ste 3401, Longview, 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 |
---|---|---|---|
1730161886 | NPI | - | NPPES |
1503997 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 43514 (Tennessee) | Secondary |
207X00000X | Orthopaedic Surgery | L0176 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Highland Park Senior Care | Longview, TX | Home health agency |
Texas Home Health Skilled Services | Longview, TX | Home health agency |
Longview Regional Medical Center | Longview, TX | Hospital |
Christus Good Shepherd Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Texas Treatment Center | 0244253854 | 38 |
Associated Clinicians Of East Texas | 4789957440 | 96 |
Entity Name | Associated Clinicians Of East Texas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932640349 PECOS PAC ID: 4789957440 Enrollment ID: O20170831003007 |
Mailing Address | Practice Location Address |
---|---|
William L Fontenot, MD Po Box 610393, Dallas, TX 75261-0393 Ph: (903) 291-6187 | William L Fontenot, MD 709 Hollybrook Dr Ste 3401, Longview, TX 75605-2412 Ph: (903) 753-1778 |
Charles Grooters, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Jordan G Stanley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Dr. Jack D Elder, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 709 Hollybrook Dr, Suite 3401, Longview, TX 75605 Phone: 903-753-1778 Fax: 903-753-7202 | |
Dr. Jay M Stanley, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 705 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000 | |
Dr. Thomas G Taylor, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Dr. Charles R Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 701 E Marshall Ave, Suite 502, Longview, TX 75601 Phone: 903-315-4435 Fax: 903-236-4766 | |
Dr. Jonathan W Fontenot, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy Ste A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 |