David Egerton, PHD | |
1400 S Coulter St, Amarillo, TX 79106-1786 | |
(806) 351-3777 | |
(806) 351-3765 |
Full Name | David Egerton |
---|---|
Gender | Male |
Speciality | Psychologist - Family |
Location | 1400 S Coulter St, Amarillo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013949197 | NPI | - | NPPES |
100841260 A | Medicaid | OK | |
038409104 | Medicaid | TX | |
038409102 | Medicaid | TX | |
19708017 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 24263 (Texas) | Secondary |
103TF0000X | Psychologist - Family | 24263 (Texas) | Primary |
Entity Name | Texas Tech University Health Sciences Center Amarillo |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013942150 PECOS PAC ID: 9234037847 Enrollment ID: O20031220000051 |
Entity Name | Senior Psychological Care Dallas I Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649566795 PECOS PAC ID: 3375717044 Enrollment ID: O20111114000885 |
Mailing Address | Practice Location Address |
---|---|
David Egerton, PHD 1400 Wallace Blvd, Attn: Credentialing Dept., Amarillo, TX 79106-1708 Ph: (806) 351-3777 | David Egerton, PHD 1400 S Coulter St, Amarillo, TX 79106-1786 Ph: (806) 351-3777 |
Dr. Trisha Paulette Barcley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 800-355-9703 | |
Mickie Cottle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17500 Fm 2186, Amarillo, TX 79119 Phone: 066-811-0348 | |
Robert Michael Ward, Psychologist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 60 At Fm 2373, Amarillo, TX 79120 Phone: 806-477-5228 | |
Jacob Gillette, LPC-ASSOCIATE Psychologist Medicare: Not Enrolled in Medicare Practice Location: 719 S Austin St, Amarillo, TX 79106 Phone: 806-437-2360 | |
Carla Elbel, PH. D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 Medical Dr, Amarillo, TX 79106 Phone: 806-356-0404 | |
Pamela M Kirby, PSY. D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1208 Wolflin Ave, Amarillo, TX 79109 Phone: 806-468-7980 Fax: 806-468-7987 |