Lon Andrew Walder, DO | |
1308e Paluxy Rd, Granbury, TX 76048-5689 | |
(817) 578-3904 | |
(817) 578-8903 |
Full Name | Lon Andrew Walder |
---|---|
Gender | Male |
Speciality | Interventional Cardiology |
Experience | 38 Years |
Location | 1308e Paluxy Rd, Granbury, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184674822 | NPI | - | NPPES |
136086909 | Medicaid | TX | |
1360869-05 | Medicaid | TX | |
86462K | Other | TX | BCBS |
1360869-02 | Medicaid | TX | |
4376993 | Other | TX | AETNA PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | J3931 (Texas) | Primary |
207RI0011X | Internal Medicine - Interventional Cardiology | J3931 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Duncan Medical Center | Eagle pass, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Medical Centers | 7618957135 | 17 |
Entity Name | United Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710980669 PECOS PAC ID: 7618957135 Enrollment ID: O20040817000497 |
Entity Name | Maverick County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548275126 PECOS PAC ID: 2466369061 Enrollment ID: O20051201000817 |
Mailing Address | Practice Location Address |
---|---|
Lon Andrew Walder, DO 1308e Paluxy Rd, Granbury, TX 76048-5689 Ph: (817) 578-3904 | Lon Andrew Walder, DO 1308e Paluxy Rd, Granbury, TX 76048-5689 Ph: (817) 578-3904 |
Ahmed S Bhatti, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3710 E Us Highway 377 Ste 116, Granbury, TX 76049 Phone: 817-579-3994 Fax: 817-579-3993 | |
Rochelle Marie Sexton I, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1321 Waters Edge Dr, Suite 101, Granbury, TX 76048 Phone: 817-408-3600 | |
Dr. David Michael Dspain, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1310 B Paluxy Road, Suite 2000, Granbury, TX 76048 Phone: 817-579-3700 Fax: 817-579-3715 | |
Jennifer A Naiser, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1308 E Paluxy Rd, Suite 203, Granbury, TX 76048 Phone: 817-579-3970 Fax: 817-579-3969 | |
Tyrus R Frerking, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1310 Paluxy Rd Ste 1400, Granbury, TX 76048 Phone: 817-579-3970 Fax: 817-579-3969 | |
Taryn J Turner, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1200 Crawford Ave, Suite E, Granbury, TX 76048 Phone: 682-205-3501 Fax: 682-205-3504 |