| Dr Marc Alan Sangalli, MD | |
|
2112 Regional Medical Dr Ste 1319, Wharton, TX 77488-1413 | |
| (713) 486-7630 | |
| (979) 532-6790 |
| Full Name | Dr Marc Alan Sangalli |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 33 Years |
| Location | 2112 Regional Medical Dr Ste 1319, Wharton, 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 |
|---|---|---|---|
| 1083678312 | NPI | - | NPPES |
| 160039180 | Other | TX | RAILROAD GBA - RAILROAD MEDICARE |
| 8DE545 | Other | TX | BC/BS# |
| 85Z654 | Other | TX | BC/BS TX# |
| 118843501 | Medicaid | TX | |
| 118843507 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | J4500 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hermann Sugar Land Hospital | Sugar land, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ut Physicians | 8426960360 | 1554 |
| Entity Name | Ut Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033157821 PECOS PAC ID: 8426960360 Enrollment ID: O20031107000268 |
| Entity Name | Memorial Hermann Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003985102 PECOS PAC ID: 7012008360 Enrollment ID: O20070801000368 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc Alan Sangalli, MD 2112 Regional Medical Dr Ste 1319, Wharton, TX 77488-1413 Ph: (713) 486-7630 | Dr Marc Alan Sangalli, MD 2112 Regional Medical Dr Ste 1319, Wharton, TX 77488-1413 Ph: (713) 486-7630 |
Dr. John Mark Fink, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2100 Regional Medical Dr, Wharton, TX 77488 Phone: 979-532-1700 Fax: 979-532-6790 | |
Dr. Jeffery Lynn Gubbels, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2100 Regional Medical Dr, Wharton, TX 77488 Phone: 979-532-1700 Fax: 979-532-6790 | |
Olubukola Omobolaji Ayeni, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2112 Regional Medical Dr Ste 1317, Wharton, TX 77488 Phone: 979-245-2008 Fax: 979-314-7164 |