| Dr Jon Daniell, MD | |
|
100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | |
| (254) 202-5800 | |
| Not Available |
| Full Name | Dr Jon Daniell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 100 Hillcrest Medical Blvd, Waco, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265544217 | NPI | - | NPPES |
| 930104296 | Other | TX | RRMCR |
| 8C0340 | Other | TX | BCBS |
| 043877202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | TBXK9761 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | K9761 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center Hillcrest | Waco, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Urgent Care Pa | 3072679828 | 135 |
| Entity Name | Legacy Urgent Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Premier Physicians - Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801204656 PECOS PAC ID: 9234416744 Enrollment ID: O20170511000584 |
| Entity Name | Ies Central Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003523002 PECOS PAC ID: 3476922576 Enrollment ID: O20221213000355 |
| Entity Name | Integrative Health Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629848254 PECOS PAC ID: 3779927611 Enrollment ID: O20240219001823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jon Daniell, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Dr Jon Daniell, MD 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 Ph: (254) 202-5800 |
Dr. Foy Edward Dark Iii, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1201 Hewitt Dr, Suite 203, Waco, TX 76712 Phone: 254-666-3627 Fax: 243-732-6125 | |
Dr. Timothy Michael Welter, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3000 Herring Ave, Waco, TX 76708 Phone: 254-202-8611 | |
Dr. Michelle Marie Law, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5400 Crosslake Pkwy, Waco, TX 76712 Phone: 254-420-2336 | |
Brennon Edward Barajas, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 915-474-4415 | |
Dr. Joel David Mendez, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6901 Medical Pkwy, Waco, TX 76712 Phone: 832-814-7136 | |
Dr. Weldon Louis Kunkel, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 6901 Medical Parkway, Waco, TX 76712 Phone: 254-751-4146 Fax: 254-751-4283 | |
Dr. Harvey Robert Chen, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7125 New Sanger Ave Ste A, Waco, TX 76712 Phone: 254-399-5400 Fax: 254-772-8669 |