| Alberto V Cabo Chan Jr, MD | |
|
5939 Harry Hines Blvd, Dallas, TX 75390 | |
| (214) 645-2870 | |
| (214) 645-2871 |
| Full Name | Alberto V Cabo Chan Jr |
|---|---|
| Gender | Male |
| Speciality | Endocrinology |
| Experience | 33 Years |
| Location | 5939 Harry Hines Blvd, Dallas, 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 |
|---|---|---|---|
| 1750314449 | NPI | - | NPPES |
| 169150 | Other | ND | UCARE # |
| 312720600 | Medicaid | ND | |
| 3300187 | Other | ND | MEDICA # |
| 44954 | Other | ND | SIOUX VALLEY # |
| DA9011033712 | Other | ND | PREFERRED ONE # |
| 3300210 | Other | ND | MEDICA # |
| 1658190 | Other | ND | AMERICA'S PPO/ARAZ # |
| 40372 | Other | ND | LHS # |
| 953S5CA | Other | ND | MNBS # |
| 00N12CA | Other | ND | MNBS # |
| 12636 | Medicaid | ND | |
| 25544 | Other | ND | NDBS # |
| 25338 | Other | ND | NDBS # |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health | Fargo, ND | Hospital |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Lake Region Healthcare Corporation | Fergus falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Innovis Health Llc | 9931298155 | 509 |
| Entity Name | Innovis Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Alberto V Cabo Chan Jr, MD Po Box 845347, Dallas, TX 75284-7208 Ph: (214) 645-2870 | Alberto V Cabo Chan Jr, MD 5939 Harry Hines Blvd, Dallas, TX 75390 Ph: (214) 645-2870 |
Uma B.r.k Pakkivenkata, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 215, Dallas, TX 75231 Phone: 214-396-4950 Fax: 877-423-5360 | |
Dr. Ariel Marcelo Modrykamien, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246 Phone: 402-972-6078 | |
Benjamin Seth Martinez, MD Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3111 Fax: 214-648-5461 | |
Vijaya Mummadi, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 225, Dallas, TX 75231 Phone: 469-646-8880 Fax: 469-646-8884 | |
Ting-yi Chen, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2800 Fax: 214-645-2808 | |
William Cook Langmade, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 1441 N Beckley Ave, Dallas, TX 75203 Phone: 214-947-2306 | |
Jacqueline Nicole Horst, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 221 W Colorado Blvd Ste 525, Dallas, TX 75208 Phone: 214-960-5681 |