Dr Justin Matthew Dyniewski, MD | |
1527 Hemphill St, Fort Worth, TX 76104-4706 | |
(817) 569-5900 | |
(817) 569-5998 |
Full Name | Dr Justin Matthew Dyniewski |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1527 Hemphill St, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588875827 | NPI | - | NPPES |
TXB160581 | Other | TX | MEDICARE |
306484201 | Medicaid | TX | |
P01103934 | Other | RAILROAD MEDICARE | |
306484202 | Other | TX | MEDICAID CSHCN |
8DK337 | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | P2981 (Texas) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | P2981 (Texas) | Secondary |
Entity Name | My Health My Resources Of Tarrant County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952423782 PECOS PAC ID: 6406755693 Enrollment ID: O20040107000397 |
Mailing Address | Practice Location Address |
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Dr Justin Matthew Dyniewski, MD 1527 Hemphill St, Fort Worth, TX 76104-4706 Ph: (817) 569-5900 | Dr Justin Matthew Dyniewski, MD 1527 Hemphill St, Fort Worth, TX 76104-4706 Ph: (817) 569-5900 |
Mandeep Singh Chahil, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 713 Grainger St, Fort Worth, TX 76104 Phone: 817-336-3968 Fax: 817-336-3917 | |
Dr. Melissa Pennington, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-3636 | |
Syed Muhammad Ali Imran Bukhari, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6200 Overton Ridge Blvd, Fort Worth, TX 76132 Phone: 817-361-1991 | |
Prema Manjunath, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769 | |
Jose Ramon Silvas, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-927-3638 Fax: 817-923-8769 | |
Ramakrishna Veluri, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 5560 Mesa Springs Dr, Fort Worth, TX 76123 Phone: 682-477-3534 Fax: 682-477-3602 | |
Holly Cannon, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2400 |