Active NPI
Mary Elizabeth Hebert, M.D.
- Radiation Oncology Physician
- Nacogdoches, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 2013045556
- Practice address
- 4920 NE Stallings Dr
Nacogdoches, TX 75965-1254 - Phone
- (936) 558-3715
- Fax
- (936) 558-3701
- NPI assigned
- Jun 15, 2006
- Last updated
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 2013045556 | MO | Primary |
Addresses
Primary practice location
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Mailing address
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 558-3715
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129804403 | Medicaid | TX | |
| 129804405 | Medicaid | TX | |
| 129804406 | Medicaid | TX | |
| 129804402 | Medicaid | TX | |
| 100033980A | Medicaid | OK | |
| 129804404 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (936) 568-3541
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013045556 | MO | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Specialty Network Inc | Past | Accepting new patients | |
| Texas Oncology PA | Radiation Oncology | Past | Accepting new patients |
Locations
631 N Resler Dr
Ste 101
El Paso, TX 79912
Phone (915) 842-0676
4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441
3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
Interoperability endpoints
- mary.hebert.p65@direct.tenet.nextgenshare.com
- mary.hebert.1@1438.direct.athenahealth.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Surgical Oncology Associates of South Texas
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
dba Orthopedic Performance Institute
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
-
dba Heart & Vascular Institute of Texas
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1831492651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Nacogdoches Medical Center
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441756800000",
"number": "1972547818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651254",
"telephone_number": "936-558-3715",
"fax_number": "936-558-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 NE STALLINGS DR",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651254",
"telephone_number": "936-558-3715",
"fax_number": "936-558-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2015-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MO",
"license": "2013045556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129804403",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129804405",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129804406",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129804402",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100033980A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129804404",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.