Etmc Physician Group Inc.
Cardiovascular Disease
1000 S Beckham Ave, Tyler
Texas, 75701-1908
903-590-5611 903-535-6884
Etmc Physician Group Inc. is a Cardiovascular Disease in Tyler, Texas. This organization is also known as sub part of Ahs East Texas Health System, Llc. It is located at 1000 S Beckham Ave, Tyler and it's customer support contact number is 903-590-5611. The authorized person of Etmc Physician Group Inc. is Stephen C Petrovich who is Evp And Secretary of this DME and his contact number is 615-296-3000. Etmc Physician Group Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Etmc Physician Group Inc. is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
DME Supplier Details:
Etmc Physician Group Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Etmc Physician Group Inc. |
| Type: | Cardiovascular Disease |
| Location: | 1000 S Beckham Ave, Tyler,
Texas, 75701-1908 |
| Phone: | 903-590-5611 |
| Fax: | 903-535-6884 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Stephen C Petrovich |
| Position: | Evp And Secretary |
| Contact Number: | 615-296-3000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1609382662 |
| Parent Organization: | Ahs East Texas Health System, Llc |
| NPI Enumeration Date: | 28 Dec, 2017 |
| NPI Last Update On: | 09 Oct, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Etmc Physician Group Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Cardiovascular Disease | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Etmc Physician Group Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 4486915600 | O20180305002106 | Etmc Physician Group, Inc. | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 9477,
Tyler, Texas |
| Zip: | 75711-9477 |
| Phone Number: | 903-594-2450 |
| Fax Number: | 903-509-0493 |
Patients can reach Etmc Physician Group Inc. at
1000 S Beckham Ave, Tyler, Texas or can
call on customer care at 903-590-5611.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.