| Dongchul Paek, DO | |
|
2355 E Grapevine Mills Cir, Grapevine, TX 76051-2047 | |
| (888) 726-5116 | |
| (888) 637-5197 |
| Full Name | Dongchul Paek |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 12 Years |
| Location | 2355 E Grapevine Mills Cir, Grapevine, 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 |
|---|---|---|---|
| 1013351840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | S4835 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Oak Street Health Of Texas Pllc | 2163843038 | 91 |
| Entity Name | Dixdowell & Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639394695 PECOS PAC ID: 2163485996 Enrollment ID: O20041111000634 |
| Entity Name | Micah Boyer Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114564085 PECOS PAC ID: 8426482159 Enrollment ID: O20200106000177 |
| Entity Name | Oak Street Health Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497387419 PECOS PAC ID: 2163843038 Enrollment ID: O20200601001767 |
| Mailing Address | Practice Location Address |
|---|---|
| Dongchul Paek, DO 2355 E Grapevine Mills Cir, Grapevine, TX 76051-2047 Ph: (888) 726-5116 | Dongchul Paek, DO 2355 E Grapevine Mills Cir, Grapevine, TX 76051-2047 Ph: (888) 726-5116 |
Dr. Adrienne L Prentiss, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St, Ste 510, Grapevine, TX 76051 Phone: 817-251-1225 Fax: 817-251-1228 | |
Orson P Rodriguez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2355 E Grapevine Mills Cir, Grapevine, TX 76051 Phone: 972-539-6330 Fax: 972-539-3077 | |
Dr. Saba Shabnam, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Lancaster Dr Ste 107, Grapevine, TX 76051 Phone: 817-510-9645 Fax: 817-685-6047 | |
Chad A Hogan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1280 S Main St Ste 100, Grapevine, TX 76051 Phone: 817-310-0898 Fax: 817-310-5524 | |
April Long, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1650 W College St, Grapevine, TX 76051 Phone: 817-374-9743 | |
Eric R Futscher, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 W College St Ste 100, Grapevine, TX 76051 Phone: 817-912-0442 Fax: 817-329-5668 |