| Dr Jeffry Alan Brace, DO | |
|
1845 Precinct Line Rd Ste 209, Hurst, TX 76054-3109 | |
| (817) 336-4638 | |
| (817) 336-7637 |
| Full Name | Dr Jeffry Alan Brace |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 1845 Precinct Line Rd Ste 209, Hurst, 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 |
|---|---|---|---|
| 1730490467 | NPI | - | NPPES |
| 301740203 | Medicaid | TX | |
| 311275YTVP | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | P0894 (Texas) | Primary |
| 2085N0700X | Radiology - Neuroradiology | P0894 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott And White Medical Center Lake Pointe | Rowlett, TX | Hospital |
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| Memorial Hermann Northeast Hospital | Humble, TX | Hospital |
| U S M D Hospital At Arlington L P | Arlington, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Star Fm Lp | 1153591763 | 53 |
| North Star Mcd Llc | 2668659434 | 67 |
| North Star Mri Of Frisco Lp | 2769574854 | 43 |
| Singleton Associates Pa | 6305731118 | 635 |
| North Star Diagnostic Imaging Llc | 8729118021 | 33 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | Consultants In Radiology, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922034602 PECOS PAC ID: 9931157609 Enrollment ID: O20050110000398 |
| Entity Name | North Star Mri Of Frisco Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20070821000328 |
| Entity Name | North Star Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20100614000182 |
| Entity Name | North Star Mri Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20110524000030 |
| Entity Name | North Star Mcd Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063712461 PECOS PAC ID: 2668659434 Enrollment ID: O20110602000702 |
| Entity Name | North Star Fm Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174812028 PECOS PAC ID: 1153591763 Enrollment ID: O20110908001884 |
| Entity Name | North Star Cn Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20150429001555 |
| Entity Name | North Star Fp Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20170816002017 |
| Entity Name | North Star Gv Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922512664 PECOS PAC ID: 0648539023 Enrollment ID: O20180110000546 |
| Entity Name | North Star Npt Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699387647 PECOS PAC ID: 8426468265 Enrollment ID: O20201105000633 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffry Alan Brace, DO 1845 Precinct Line Rd Ste 209, Hurst, TX 76054-3109 Ph: (817) 336-4638 | Dr Jeffry Alan Brace, DO 1845 Precinct Line Rd Ste 209, Hurst, TX 76054-3109 Ph: (817) 336-4638 |
Ralph T Wynn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1845 Precinct Line Rd Ste 209, Hurst, TX 76054 Phone: 817-632-5803 Fax: 817-632-5803 | |
Nidhi Kacholiya, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1845 Precinct Line Rd Ste 209, Second Floor, Hurst, TX 76054 Phone: 817-336-4638 Fax: 817-336-7637 | |
Lloyd Glenwood Wilbert Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1845 Precinct Line Rd Ste 209, Hurst, TX 76054 Phone: 817-336-4638 Fax: 817-336-1331 | |
Lynn Bakeerah Hassan Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 1845 Precinct Line Rd Ste 209, Hurst, TX 76054 Phone: 817-632-5803 Fax: 817-632-5803 | |
Padmavathi N Srinivasan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1845 Precinct Line Rd Ste 209, Hurst, TX 76054 Phone: 817-336-4638 Fax: 817-336-1331 | |
Jeffrey K Leitko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1845 Precinct Line Rd Ste 209, Second Floor, Hurst, TX 76054 Phone: 817-336-4638 Fax: 817-336-7637 | |
Dr. Tanja Minova Foster, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1845 Precinct Line Rd, Ste 209, Hurst, TX 76054 Phone: 817-321-0937 Fax: 469-522-6889 |