| Dr Jonathan Srichandra, MD | |
|
590 Medical Center Rd, Fort Cavazos, TX 76544-5060 | |
| (254) 553-1363 | |
| Not Available |
| Full Name | Dr Jonathan Srichandra |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 590 Medical Center Rd, Fort Cavazos, 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 |
|---|---|---|---|
| 1720467947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R9149 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | C200352 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Berkeley Emergency Medical Group Inc | 5890697536 | 40 |
| Entity Name | Berkeley Emergency Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508874454 PECOS PAC ID: 5890697536 Enrollment ID: O20040123000216 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan Srichandra, MD 590 Medical Center Road, Fort Cavazos, TX 76544 Ph: () - | Dr Jonathan Srichandra, MD 590 Medical Center Rd, Fort Cavazos, TX 76544-5060 Ph: (254) 553-1363 |
Dr. Tamara Mcreynolds, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-553-1364 | |
Lauren Noel Canestrini, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Tyler John Hummel, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-618-8039 Fax: 915-742-6668 | |
Reagan Dehnbostel, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Ryan Allen Stevens, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 590 Medical Center Road, Attn: Emergency Medicine, Fort Cavazos, TX 76544 Phone: 254-553-9089 | |
Alec Pawlukiewicz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 590 Medical Center Road, Fort Cavazos, TX 76544 Phone: 254-288-8000 | |
Dr. Kevin Edward Schlicksup, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 590 Medical Center Rd., Carl R. Darnall Army Medical Center, Dem, Fort Cavazos, TX 76544 Phone: 254-553-1371 |