| Andrew Buchanan Small Iv, MD | |
|
3901 W 15th Street, Plano, TX 75075 | |
| (972) 596-6800 | |
| Not Available |
| Full Name | Andrew Buchanan Small Iv |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 3901 W 15th Street, Plano, 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 |
|---|---|---|---|
| 1043268089 | NPI | - | NPPES |
| 8B7904 | Other | TX | COLLIN COUNTY PTAN |
| 168061302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | L1203 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amita Health Resurrection Medical Center | Chicago, IL | Hospital |
| Texas Health Presbyterian Hospital Allen | Allen, TX | Hospital |
| Presence Saint Francis Hospital | Evanston, IL | Hospital |
| Texas Health Presbyterian Hospital Plano | Plano, TX | Hospital |
| Presence Saints Mary And Elizabeth Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sol Radiology Inc | 1850796681 | 84 |
| Utmb Faculty Group Practice | 3375456734 | 948 |
| Texas Radiology Associates Llp | 3779578000 | 147 |
| Texas Radiology Associates Llp | 3779578000 | 147 |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Entity Name | Texas Radiology Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016161 PECOS PAC ID: 3779578000 Enrollment ID: O20040422001470 |
| Entity Name | Sol Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457928111 PECOS PAC ID: 1850796681 Enrollment ID: O20220527001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Buchanan Small Iv, MD 1820 Preston Park Blvd, Ste 1825, Plano, TX 75093-5215 Ph: (972) 867-7862 | Andrew Buchanan Small Iv, MD 3901 W 15th Street, Plano, TX 75075 Ph: (972) 596-6800 |
Dr. Galon Cory Morgan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3901 W 15th St, Plano, TX 75075 Phone: 972-596-6800 | |
Dr. Bao-tram Xuan Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3901 W 15th St, Plano, TX 75075 Phone: 972-596-6800 | |
Dr. Laura Tasa, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3901 W 15th St, Plano, TX 75075 Phone: 972-596-6800 | |
Dr. James Ken, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3901 W 15th Street, Plano, TX 75075 Phone: 972-596-6800 | |
Yanqiu Zheng, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1820 Preston Park Blvd Ste 2400, Plano, TX 75093 Phone: 972-867-7862 | |
Mark Alan Spivey, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3901 W 15th St, Plano, TX 75075 Phone: 972-596-6800 |