| Dr Joseph Gerard Kaczor, MD | |
|
301 N Washington Ave, Odessa, TX 79761-5413 | |
| (432) 335-8275 | |
| (432) 334-0687 |
| Full Name | Dr Joseph Gerard Kaczor |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 42 Years |
| Location | 301 N Washington Ave, Odessa, 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 |
|---|---|---|---|
| 1366485252 | NPI | - | NPPES |
| 124516902 | Other | TX | CSHCN |
| 920005366 | Other | TX | RAILROAD |
| 124516904 | Medicaid | TX | |
| 000J3215 | Medicaid | NM | |
| 124516905 | Medicaid | TX | |
| 8R1480 | Other | TX | BLUE CROSS OF TX |
| 124516903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | J4872 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Hospital | Odessa, TX | Hospital |
| Big Bend Regional Medical Center | Alpine, TX | Hospital |
| Midland Memorial Hospital | Midland, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Oncology Pa | 5395658934 | 957 |
| Entity Name | Texas Oncology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joseph Gerard Kaczor, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Dr Joseph Gerard Kaczor, MD 301 N Washington Ave, Odessa, TX 79761-5413 Ph: (432) 335-8275 |
Steven Ashlock, M. D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 520 E 6th St, Department Of Radiology, Odessa, TX 79761 Phone: 432-582-8290 Fax: 432-582-8931 | |
Patricia Kay Miller Hamrick, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 520 E 6th St, Odessa, TX 79761 Phone: 970-708-9392 | |
Natausha Glidwell, Radiology Medicare: Not Enrolled in Medicare Practice Location: 850 Tower Dr Ste 111, Odessa, TX 79761 Phone: 432-888-4886 | |
James A Sheehan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1273 Fax: 432-640-4606 | |
Charles C Nicolette, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 469-757-1000 | |
George Nader Rodenko, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1273 Fax: 432-640-4606 | |
Russell D. Schroeder, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 W 4th St, Odessa, TX 79761 Phone: 432-640-1273 Fax: 432-640-4606 |