| Dr Frank Joseph Fasullo Jr, MD | |
|
17047 El Camino Real, Suite 105, Houston, TX 77058-2652 | |
| (281) 415-1972 | |
| (281) 486-9904 |
| Full Name | Dr Frank Joseph Fasullo Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 17047 El Camino Real, Houston, 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 |
|---|---|---|---|
| 1205812625 | NPI | - | NPPES |
| 140050914 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | J8532 (Texas) | Secondary |
| 207Q00000X | Family Medicine | J8532 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Tyler Regional Hospital | Tyler, TX | Hospital |
| Altus Lumberton Hospital | Lumberton, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altus Exceptional Physician Group Pllc | 0042662462 | 19 |
| Acs Primary Care Physicians Southwest Pa | 1850204363 | 194 |
| Entity Name | Winnie Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316623481 PECOS PAC ID: 3375440894 Enrollment ID: O20031218000349 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Emergency Services Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174932131 PECOS PAC ID: 7517289291 Enrollment ID: O20141208002099 |
| Entity Name | Ess Of South Texas Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
| Entity Name | Ess Of Port Lavaca Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922546936 PECOS PAC ID: 2769766005 Enrollment ID: O20170303001868 |
| Entity Name | Ess Of Fairfield Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588132856 PECOS PAC ID: 9234475526 Enrollment ID: O20190108000545 |
| Entity Name | Hcc Of Fairfield Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487122750 PECOS PAC ID: 3072859099 Enrollment ID: O20190114000163 |
| Entity Name | Tk Emergency Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942728019 PECOS PAC ID: 2567799091 Enrollment ID: O20190807000556 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Entity Name | Altus Exceptional Physician Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730869207 PECOS PAC ID: 0042662462 Enrollment ID: O20240122000381 |
| Entity Name | Texas Er Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235829359 PECOS PAC ID: 4880039338 Enrollment ID: O20240223003917 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Frank Joseph Fasullo Jr, MD 17047 El Camino Real, Suite 105, Houston, TX 77058-2652 Ph: (281) 415-1972 | Dr Frank Joseph Fasullo Jr, MD 17047 El Camino Real, Suite 105, Houston, TX 77058-2652 Ph: (281) 415-1972 |
Dr. Bhavik Kumar, MD, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 4600 Gulf Fwy, Houston, TX 77023 Phone: 713-522-3976 Fax: 404-494-7435 | |
Dr. Maxwell Gilbert Mccray Jr., D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 6410 Fannin St Ste 230, Houston, TX 77030 Phone: 832-325-6500 Fax: 713-512-2236 | |
Matthew Aziz Faheim Hanna, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 13930 Bellaire Blvd, Houston, TX 77083 Phone: 713-773-0803 Fax: 713-271-5422 | |
Dr. Rolando R Maldonado I, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 548 Waugh Dr, Houston, TX 77019 Phone: 713-933-0501 | |
Scott H Hung, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10950 Resource Pkwy, Suite A, Houston, TX 77089 Phone: 281-484-5587 Fax: 281-506-1013 | |
Diana Atwal, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6630 De Moss Dr, Houston, TX 77074 Phone: 713-272-2600 Fax: 713-272-5589 | |
Dr. Brandon Scott Brown, M.D., PH.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 N Post Oak Rd Ste 220, Houston, TX 77055 Phone: 512-920-2010 |