Dr Christine Mandana Tavakoli, DO | |
1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 | |
(888) 854-1397 | |
(469) 699-0240 |
Full Name | Dr Christine Mandana Tavakoli |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 8 Years |
Location | 1940 Enchanted Way Ste 101, Grapevine, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932554581 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OK6263 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | T3709 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Hospital Oklahoma City, Inc | Oklahoma city, OK | Hospital |
Oklahoma Heart Hospital South, Llc | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optimum Complete Care, Pllc | 3678996014 | 6 |
Entity Name | Prime Physician Staffing 2 Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427523109 PECOS PAC ID: 7416292636 Enrollment ID: O20181217001900 |
Entity Name | Optimum Complete Care, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295359248 PECOS PAC ID: 3678996014 Enrollment ID: O20200702000164 |
Mailing Address | Practice Location Address |
---|---|
Dr Christine Mandana Tavakoli, DO 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 Ph: (888) 854-1397 | Dr Christine Mandana Tavakoli, DO 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 Ph: (888) 854-1397 |
Dr. Adrienne L Prentiss, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 W College St, Ste 510, Grapevine, TX 76051 Phone: 817-251-1225 Fax: 817-251-1228 | |
Lee W Haak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5301 William D Tate Ave, Grapevine, TX 76051 Phone: 817-251-2101 Fax: 817-421-5041 | |
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: 1601 Lancaster Dr Ste 160, 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 | |
Eric R Futscher, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 W College St Ste 100, Grapevine, TX 76051 Phone: 817-912-0442 Fax: 817-329-5668 | |
Carleo A Capili, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1501 W Northwest Hwy, Grapevine, TX 76051 Phone: 817-481-5365 Fax: 827-424-3264 |