| Benjamin Tomelleri-galichia, MD | |
| 1500 S Main St, Fort Worth, TX 76104-4917 | |
| (817) 702-1244 | |
| Not Available | 
| Full Name | Benjamin Tomelleri-galichia | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 1500 S Main 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 | 
|---|---|---|---|
| 1346878477 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | T8069 (Texas) | Primary | 
| Entity Name | Concord Medical Group Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 | 
| Entity Name | Concord Medical Group Of Texas Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 | 
| Entity Name | Acclaim Physician Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Benjamin Tomelleri-galichia, MD 200 W Magnolia Ave Ste 201, Ft Worth, TX 76104-7657 Ph: (817) 702-2977 | Benjamin Tomelleri-galichia, MD 1500 S Main St, Fort Worth, TX 76104-4917 Ph: (817) 702-1244 | 
| Jonathan A Lazarini, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265 | |
| Mrs. Adeline Galvez,  Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987 | |
| Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005 | |
| Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034 | |
| Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 Fax: 817-257-7279 | |
| Dr. Christian Ann Lance, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 8th Ave Ste 412, Fort Worth, TX 76104 Phone: 817-662-2006 Fax: 817-623-9598 | |
| Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278 |