Claire Tibiletti (NPI# 1013937556, PAC ID# 6103724802) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1013937556 |
| PAC ID by PECOS | 6103724802 |
| Professional Enrollment ID | I20031219000310 |
| Full Name | Claire Tibiletti |
| Organization Legal Name | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| Address |
725 N 4th St Azalea Orthopedics Longview TX 75601-5412 |
| Phone Number | 9039397501 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1982 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialties | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 3274524467 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450864 | BAYLOR SCOTT & WHITE TEXAS SPINE & JOINT HOSPITAL |
| 450102 | MOTHER FRANCES HOSPITAL |
| 450389 | EAST TEXAS MEDICAL CENTER ATHENS |
| Address | Phone | Organization |
|---|---|---|
| 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 | 9039397501 | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| 3414 Golden Rd, Tyler, TX 75701-8336 | 9039397500 | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | AZALEA ORTHOPEDIC AND SPORTS MEDICINE CLINIC PA |
| Physicians | 47 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael E Johnson | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Chad J Mcneil | Physical Medicine and Rehabilitation | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Kim A Foreman | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| Drew C Woock | Occupational Therapy | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Jennifer Marie Mckelva | Physician Assistant | Azalea Orthopedic and Sports Medicine Clinic Pa | 305 W 20th St, Mount Pleasant, TX 75455-2327 |
| Corey Lamont Starks | Occupational Therapy | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Jennifer Turner | Nurse Practitioner | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Jerry Wayne Schwarzbach | Physical Medicine and Rehabilitation | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Kevin Wade Luttrell | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| John Thomas Camp | Hand Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 3414 Golden Rd, Tyler, TX 75701-8336 |
| Street Address |
725 N 4TH ST AZALEA ORTHOPEDICS |
| City | LONGVIEW |
| State | TX |
| Zip | 75601-5412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim A Foreman | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| Todd Martin Raabe | Orthopedic Surgery | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| James P Michaels | Physical Medicine and Rehabilitation | Azalea Orthopedic and Sports Medicine Clinic Pa | 725 N 4th St, Azalea Orthopedics, Longview, TX 75601-5412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daytral Matasha Brown | Nurse Practitioner | 103 Woodbine Pl A, The Beverly Clinic, Longview, TX 75601-2912 | |
| Andrea M Marjason | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Michelle Ann Vess | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Donald Winsted | Psychologist, Clinical | 103 Woodbine Pl A, Longview, TX 75601-2912 | |
| Courtney Elizabeth Treat | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Jeremiah R Sanders | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Carrie D Hinton | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Gracie M Adkisson | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Longview, TX 75601-2912 |
| Debbie L Anderson | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Thomas Jay Dehaven | Ophthalmology | Trinity Clinic | 1705 Judson Rd, Longview, TX 75601-2938 |
| Find all physicians in zip 75601 | |||
| City | LONGVIEW |
| Zip Code | 75601 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | LONGVIEW + INTERVENTIONAL PAIN MANAGEMENT |
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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.