Turtle Creek Surgery Center LLC
A Medicare group practice based in Tyler, TX: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7416923735), with 6 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7416923735
- Provider type
- Part B Supplier - Ambulatory Surgical Center, Part B Supplier - Clinic/Group Practice
- Enrolled in
- TX
- Enrollments
- 2
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040908001047 | TX | Part B Supplier - Ambulatory Surgical Center | 1699819979 |
| O20050404000241 | TX | Part B Supplier - Clinic/Group Practice | 1437420270 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Turtle Creek Surgery Center LLC
- Ambulatory Surgical Clinic/Center
- Tyler, TX
- NPI 1699819979
-
Turtle Creek Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Tyler, TX
- NPI 1437420270
Practice locations
- Tyler, TX2
Clinicians 6
Clinicians who reassign their Medicare benefits to this group (6) or whom Care Compare lists as members (4).
-
Timothy Michael Clark, CRNA
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1912017039
-
Ryan M Hinkle, D.D.S, MD
- Oral and Maxillofacial Surgery (Dentist)
- Tyler, TX
- NPI 1558780460
-
Chad William Morgan, CRNA
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1902343791
-
Makoto Saigusa, D.M.D, M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Tyler, TX
- NPI 1417067497
-
Jayson J Terres, DDS, MD, FACS, FAACS
- Oral and Maxillofacial Surgery (Dentist)
- Tyler, TX
- NPI 1659448108
-
Jerry Vinson, CRNA
- Certified Registered Nurse Anesthetist
- Tyler, TX
- NPI 1992878458
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.