Eleazar Vera Jr. (NPI# 1407822299, PAC ID# 2062409923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1407822299 |
PAC ID by PECOS | 2062409923 |
Professional Enrollment ID | I20040430000732 |
Full Name | Eleazar Vera Jr. |
Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
Address |
14069 Fm Suite 849 Lindale TX 75771-5160 |
Phone Number | 9035905263 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
Graduation Year | 1989 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4486915600 |
Number of Group Practice Members | 206 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450083 | EAST TEXAS MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
14069 Fm, Suite 849, Lindale, TX 75771-5160 | 9035905263 | ETMC PHYSICIAN GROUP, INC. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_331_overall | Adult Sinusitis: Antibiotic Prescribed for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 6% | |
MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 96% |
Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
Physicians | 178 |
Name | Specialty | Organization | Address |
---|---|---|---|
Varalaxmi Nannaka | Pulmonary Disease | Etmc Physician Group, Inc. | 305 Cottage Rd, Carthage, TX 75633-1511 |
Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
Andrea Corine Cooley | Cardiac Surgery | Etmc Physician Group, Inc. | 1000 E 5th St, Suite 400, Tyler, TX 75701-3362 |
Jason S Murry | General Surgery | Etmc Physician Group, Inc. | 1020 E Idel St, Ut Health East Texas Physicians, Tyler, TX 75701-2024 |
Ronald J Pinkenburg | Ophthalmology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
Francine Fraser Mccain | Obstetrics/gynecology | Etmc Physician Group, Inc. | 1336 S Palestine St, Athens, TX 75751-3621 |
Lori Fuquay | Nurse Practitioner | Etmc Physician Group, Inc. | 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037 |
Michael Jason Chastant | Nurse Practitioner | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
Eric D Reed | Otolaryngology | Etmc Physician Group, Inc. | 301 W 19th St, Mt Pleasant, TX 75455-2322 |
Street Address |
14069 FM SUITE 849 |
City | LINDALE |
State | TX |
Zip | 75771-5160 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donna M Hand | Family Medicine | Lindale Medical Clinic Inc | 103 Cannery Row, Lindale, TX 75771-3116 |
Wendell P Hand Jr. | Family Medicine | Lindale Medical Clinic Inc | 103 Cannery Row, Lindale, TX 75771-3116 |
Dean A Darr | Chiropractic | 207 S Henry St, Lindale, TX 75771-3298 | |
Mary Robin Newman | Psychologist, Clinical | 305 E S St, Suite 102, Lindale, TX 75771-3530 | |
Ronald J Pinkenburg | Ophthalmology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
Walter H Snider Jr. | Anesthesiology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
George C Pitts | Chiropractic | 1437 S Main St, Lindale, TX 75771-6399 | |
Rebecca Taylor Shipley | Nurse Practitioner | Trinity Clinic | 3203 S Main St, Christus Trinity Clinic, Lindale, TX 75771-7727 |
Carah Howe | Family Medicine | Trinity Clinic | 3203 S Main St, Christus Trinity Clinic, Lindale, TX 75771-7727 |
Misty L Baggett | Nurse Practitioner | Trinity Clinic | 3203 S Main St, Christus Trinity Clinic, Lindale, TX 75771-7727 |
Find all physicians in zip 75771 |
City | LINDALE |
Zip Code | 75771 |
Specialty | FAMILY MEDICINE |
City + Specialty | LINDALE + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.