| Dr Kevin S Homer, MD | |
|
11801 South Fwy, Burleson, TX 76028-7021 | |
| (817) 293-4304 | |
| Not Available |
| Full Name | Dr Kevin S Homer |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 36 Years |
| Location | 11801 South Fwy, Burleson, 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 |
|---|---|---|---|
| 1891786976 | NPI | - | NPPES |
| 117966503 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | H8137 (Texas) | Primary |
| 207ZC0500X | Pathology - Cytopathology | H8137 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Huguley Hospital Fort Worth South | Burleson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Pathology Consultants Pa | 2860402450 | 4 |
| Entity Name | Texas Pathology Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275650715 PECOS PAC ID: 2860402450 Enrollment ID: O20060426000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin S Homer, MD Po Box 879, Burleson, TX 76097 Ph: () - | Dr Kevin S Homer, MD 11801 South Fwy, Burleson, TX 76028-7021 Ph: (817) 293-4304 |
Miranda Janucik, Pathology Medicare: Not Enrolled in Medicare Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-913-5201 | |
Wafi Bibars, M.D Pathology Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy # I-35w, Burleson, TX 76028 Phone: 817-293-4304 | |
Dr. Adolfo Noel Ceniza, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-4304 Fax: 817-293-7244 | |
Annie Dermody, Pathology Medicare: Not Enrolled in Medicare Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Jennifer H Crow, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-4304 |