| Dr Mark Glynn Davies, MD | |
|
6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 | |
| (254) 776-3188 | |
| (254) 776-3671 |
| Full Name | Dr Mark Glynn Davies |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 28 Years |
| Location | 6600 Fish Pond Rd Ste 101, Waco, 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 |
|---|---|---|---|
| 1477581619 | NPI | - | NPPES |
| 8AP706 | Other | TX | BLUE CROSS BLUE SHIELD |
| 1807532 | Medicaid | LA | |
| P01039325 | Other | TX | RR MEDICARE |
| 196915602 | Medicaid | TX | |
| 01995142 | Medicaid | NY | |
| 196915603 | Medicaid | TX | |
| P00633958 | Other | TX | RAILROAD MEDICARE |
| 196915601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | M8620 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Health Center | Waco, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health Alliance | 6305731068 | 115 |
| Entity Name | Providence Health Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307 |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Glynn Davies, MD 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 Ph: (210) 358-2074 | Dr Mark Glynn Davies, MD 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 Ph: (254) 776-3188 |
Hope Shin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-4000 Fax: 254-202-4019 | |
Thomas Andrew Damato, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 100 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-202-2000 | |
Dr. William H Turney, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6600 Fish Pond Rd, Suite 101, Waco, TX 76710 Phone: 254-776-3188 Fax: 254-776-3607 | |
Josh Harris Goldstrich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6600 Fish Pond Rd Ste 101, Waco, TX 76710 Phone: 254-776-3188 Fax: 254-776-3607 | |
Dr. Ted R. Smith, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 50 Hillcrest Medical Blvd Ste 105, Waco, TX 76712 Phone: 254-202-7300 Fax: 254-202-7350 | |
Miss Karen Lynn Burnett, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6600 Fish Pond Rd, Suite 101, Waco, TX 76710 Phone: 254-776-3188 Fax: 254-776-3671 | |
Webster Lowder, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3400 Hillcrest Dr, Waco, TX 76708 Phone: 254-752-2587 |