| Dr Ethan Bernell Dalley, MD | |
|
3419 22nd St, Lubbock, TX 79410 | |
| (806) 796-3000 | |
| (806) 796-3006 |
| Full Name | Dr Ethan Bernell Dalley |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 16 Years |
| Location | 3419 22nd St, Lubbock, 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 |
|---|---|---|---|
| 1780818112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | P9063 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Medical Center | Lubbock, TX | Hospital |
| Grace Medical Center | Lubbock, TX | Hospital |
| University Medical Center | Lubbock, TX | Hospital |
| Plains Regional Medical Center | Clovis, NM | Hospital |
| Carlsbad Medical Center | Carlsbad, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dora Roberts Rehabilitation Center | 0941285498 | 68 |
| Neurosurgical Associates , Llp | 5890693402 | 25 |
| Entity Name | Neurosurgical Associates , Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467491837 PECOS PAC ID: 5890693402 Enrollment ID: O20031220000037 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Bernell Dalley, MD 3419 22nd St, Lubbock, TX 79410-1334 Ph: (806) 796-3000 | Dr Ethan Bernell Dalley, MD 3419 22nd St, Lubbock, TX 79410 Ph: (806) 796-3000 |
Bei Zhang, MD, MSC Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St # 4d412, Lubbock, TX 79430 Phone: 806-743-1646 | |
Taylor James Overton, MAT, LAT, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2621 Drive Of Champions, Lubbock, TX 79414 Phone: 972-775-0519 | |
John W. Norbury Iii, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Stop 8321, Lubbock, TX 79430 Phone: 806-743-2391 Fax: 806-743-5687 | |
Tara Lee Sims, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2400 Quaker Ave, Lubbock, TX 79410 Phone: 806-790-2831 | |
Randall D. Wolcott, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2002 Oxford Ave, Lubbock, TX 79410 Phone: 806-793-8869 Fax: 806-793-0043 | |
Cristina Marie Sanders, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Ste 3a105, Lubbock, TX 79430 Phone: 806-743-2391 Fax: 806-743-5687 | |
Sally Elizabeth Miller, OTD, OTR Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3703 69th Dr, Lubbock, TX 79413 Phone: 806-786-7788 |