| Charles Patrick Theivagt, MD | |
|
510 Victoria Ln Ste 5, Harlingen, TX 78550-3231 | |
| (956) 362-8920 | |
| (956) 362-8935 |
| Full Name | Charles Patrick Theivagt |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 23 Years |
| Location | 510 Victoria Ln Ste 5, Harlingen, 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 |
|---|---|---|---|
| 1396840682 | NPI | - | NPPES |
| 1396840682 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | M3764 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Doctors Hospital At Renaissance | Edinburg, TX | Hospital |
| Harlingen Medical Center | Harlingen, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Renaissance Medical Foundation | 1153409867 | 173 |
| Entity Name | Valley Ear Nose & Throat Specialist Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386648798 PECOS PAC ID: 7719877521 Enrollment ID: O20041119000824 |
| Entity Name | Renaissance Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467633867 PECOS PAC ID: 1153409867 Enrollment ID: O20080422000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Patrick Theivagt, MD Po Box 749, Pharr, TX 78577-1614 Ph: (956) 362-8920 | Charles Patrick Theivagt, MD 510 Victoria Ln Ste 5, Harlingen, TX 78550-3231 Ph: (956) 362-8920 |
James Laree Werth, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 5118 Palm Valley Dr S, Harlingen, TX 78552 Phone: 956-454-9516 Fax: 956-412-6661 | |
Nausheen Jamal, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 615 Camelot Dr, Harlingen, TX 78550 Phone: 956-296-2701 Fax: 956-296-2700 | |
Adam Bender-heine, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2121 Pease St Ste 600, Harlingen, TX 78550 Phone: 956-215-8520 Fax: 956-332-1051 |