| Dr Michael Koichi Hasegawa, MD | |
|
5100 Bee Caves Rd, West Lake Hills, TX 78746-5221 | |
| (512) 524-7783 | |
| Not Available |
| Full Name | Dr Michael Koichi Hasegawa |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 5100 Bee Caves Rd, West Lake Hills, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154761971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 125063470 (Illinois) | Secondary |
| 207P00000X | Emergency Medicine | Q6753 (Texas) | Primary |
| Entity Name | Leading Edge Emergency Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003165259 PECOS PAC ID: 2466601588 Enrollment ID: O20121005000189 |
| Entity Name | Round Table Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023439114 PECOS PAC ID: 0547682460 Enrollment ID: O20200623002513 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Koichi Hasegawa, MD 5100 Bee Caves Rd, West Lake Hills, TX 78746-5221 Ph: (512) 524-7783 | Dr Michael Koichi Hasegawa, MD 5100 Bee Caves Rd, West Lake Hills, TX 78746-5221 Ph: (512) 524-7783 |
Vivian Conroy, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3300 Bee Caves Rd Ste 440, West Lake Hills, TX 78746 Phone: 512-399-0402 Fax: 844-460-2062 | |
Dr. Emmanuel Anthony Trigenis, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5656 Bee Caves Rd, West Lake Hills, TX 78746 Phone: 512-327-0000 | |
David J Jacoby, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5656 Bee Cave Rd, West Lake Hills, TX 78746 Phone: 512-327-0000 | |
Amanda Dupont, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5656 Bee Cave Rd, Suite M-302, West Lake Hills, TX 78746 Phone: 512-327-0000 |