| Dr Damien B Mallat, MD | |
|
7777 Forest Ln, Bldg. C Suite 204, Dallas, TX 75230-2571 | |
| (972) 566-5266 | |
| (972) 566-5245 |
| Full Name | Dr Damien B Mallat |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 32 Years |
| Location | 7777 Forest Ln, Dallas, 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 |
|---|---|---|---|
| 1568421212 | NPI | - | NPPES |
| 157312301 | Medicaid | TX | |
| 157312303 | Medicaid | TX | |
| 157312302 | Medicaid | TX | |
| 8A5534 | Other | TX | BCBSTX |
| 157312304 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | L0393 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical City Fort Worth | Fort worth, TX | Hospital |
| Crescent Medical Center Lancaster | Lancaster, TX | Hospital |
| Entity Name | Premier Gastroenterology Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265719140 PECOS PAC ID: 5890952089 Enrollment ID: O20120130000872 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Damien B Mallat, MD 7777 Forest Ln, C204, Dallas, TX 75230-2571 Ph: (972) 566-5266 | Dr Damien B Mallat, MD 7777 Forest Ln, Bldg. C Suite 204, Dallas, TX 75230-2571 Ph: (972) 566-5266 |
Uma B.r.k Pakkivenkata, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 215, Dallas, TX 75231 Phone: 214-396-4950 Fax: 877-423-5360 | |
Dr. Ariel Marcelo Modrykamien, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246 Phone: 402-972-6078 | |
Benjamin Seth Martinez, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3111 Fax: 214-648-5461 | |
Vijaya Mummadi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 225, Dallas, TX 75231 Phone: 469-646-8880 Fax: 469-646-8884 | |
Ting-yi Chen, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2800 Fax: 214-645-2808 | |
William Cook Langmade, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1441 N Beckley Ave, Dallas, TX 75203 Phone: 214-947-2306 | |
Jacqueline Nicole Horst, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 221 W Colorado Blvd Ste 525, Dallas, TX 75208 Phone: 214-960-5681 |