| Atul Poudel, MD | |
|
4102 24th St Ste 303, Lubbock, TX 79410-1802 | |
| (806) 725-8395 | |
| (806) 723-7005 |
| Full Name | Atul Poudel |
|---|---|
| Gender | Male |
| Speciality | Pediatric Medicine |
| Experience | 20 Years |
| Location | 4102 24th St Ste 303, Lubbock, 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 |
|---|---|---|---|
| 1447674858 | NPI | - | NPPES |
| 1447674858 | Other | NM | BCBS NM |
| 27022242 | Medicaid | NM | |
| 8SL700 | Other | TX | BCBS |
| 1447674858 | Medicaid | TX | |
| 2I6403 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0210X | Pediatrics - Pediatric Nephrology | S7316 (Texas) | Secondary |
| 208000000X | Pediatrics | S7316 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Childrens Hospital | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Group | 6901889393 | 238 |
| Entity Name | Covenant Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Atul Poudel, MD 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844 | Atul Poudel, MD 4102 24th St Ste 303, Lubbock, TX 79410-1802 Ph: (806) 725-8395 |
Weerapong Lilitwat, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8813 Fax: 806-775-9182 | |
Claire Cooper, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5410 114th St, Lubbock, TX 79424 Phone: 806-853-5233 | |
Sara Al Dogom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2669 | |
Laszlo Nagy, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4102 24th St Ste 504, Lubbock, TX 79410 Phone: 806-743-7700 Fax: 806-743-7703 | |
Dr. Jane Elizabeth Wheeler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4617 92nd St, Lubbock, TX 79424 Phone: 806-794-0246 | |
Dr. Douglas Klepper, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7501 Quaker Ave, Lubbock, TX 79424 Phone: 806-793-7257 Fax: 806-799-1568 | |
Dr. Leopoldo Amansec Cabrera, M.D., F.A.A.P. Pediatrics Medicare: Medicare Enrolled Practice Location: 542419th St, Ste 200, Lubbock, TX 79407 Phone: 806-722-4453 Fax: 806-722-4461 |