| Dr Allan Chad Van Horn, MD | |
|
2705 Prince George Ave, Desoto, TX 75115-2045 | |
| (972) 780-0480 | |
| (972) 780-1453 |
| Full Name | Dr Allan Chad Van Horn |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 38 Years |
| Location | 2705 Prince George Ave, Desoto, 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 |
|---|---|---|---|
| 1720018120 | NPI | - | NPPES |
| 1344721009 | Other | TX | CIGNA |
| 340009464 | Other | TX | RAIL ROAD MEDICARE |
| P01346795 | Other | TX | RAILROAD MEDICARE |
| 035084501 | Medicaid | TX | |
| 001382060 | Other | TX | UNITED HEALTH |
| 035084502 | Medicaid | TX | |
| 035084503 | Medicaid | TX | |
| 8A9483 | Other | TX | BLUECROSS BLUESHIELD |
| 0614904 | Other | TX | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | H4762 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Charlton Medical Center | Dallas, TX | Hospital |
| Methodist Dallas Medical Center | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Oncology Pa | 5395658934 | 957 |
| Entity Name | Texas Oncology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Allan Chad Van Horn, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Dr Allan Chad Van Horn, MD 2705 Prince George Ave, Desoto, TX 75115-2045 Ph: (972) 780-0480 |
Dr. Siddharth Gulabchand Jain, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2705 Prince George Ave, Desoto, TX 75115 Phone: 972-780-0480 Fax: 972-780-1453 | |
Dr. Srinath Kotamarti, Urology Medicare: Accepting Medicare Assignments Practice Location: 2705 Prince George Ave, Desoto, TX 75115 Phone: 972-780-0480 Fax: 972-780-1453 | |
Kenneth I Licker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 935 York Dr, Desoto, TX 75115 Phone: 817-784-0818 Fax: 972-709-5920 |