| Dr Sreenivas Gudimetla, MD | |
|
150 River North Blvd, Stephenville, TX 76401-1803 | |
| (254) 968-6051 | |
| (254) 968-4950 |
| Full Name | Dr Sreenivas Gudimetla |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 35 Years |
| Location | 150 River North Blvd, Stephenville, 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 |
|---|---|---|---|
| 1053316547 | NPI | - | NPPES |
| 89790V | Other | TX | BLUE CROSS |
| 89755J | Other | TX | BCBS PROVIDER NUMBER |
| P00074958 | Other | RAIL ROAD MEDICARE | |
| 2749061002 | Other | TX | CIGNA PROVIDER NUMBER |
| 060057347 | Other | TX | RAILROAD MEDICARE PROV NO |
| 5673038 | Other | TX | AETNA PROVIDER NUMBER |
| 125365003 | Medicaid | TX | |
| 193006902 | Other | TX | UNITED HEALTHCARE PROV NO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | J2041 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
| Texas Health Harris Methodist Hospital Azle | Azle, TX | Hospital |
| Texas Health Harris Methodist Hospital Cleburne | Cleburne, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Health Physicians Group | 4385535954 | 1232 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sreenivas Gudimetla, MD 150 River North Blvd, Stephenville, TX 76401-1803 Ph: (254) 968-6051 | Dr Sreenivas Gudimetla, MD 150 River North Blvd, Stephenville, TX 76401-1803 Ph: (254) 968-6051 |
Dr. Jeffrey Moore, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 Fax: 254-968-4204 | |
Miranda Nash, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 | |
Dr. Lester Ong, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 150 River North Blvd, Stephenville, TX 76401 Phone: 254-968-6051 Fax: 254-968-4204 | |
Donald E Benson, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 411 N Belknap St, Stephenville, TX 76401 Phone: 817-250-4906 Fax: 817-250-4815 | |
Dr. Boris Derek Curwen, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 411 N Belknap St, Stephenville, TX 76401 Phone: 817-820-4906 Fax: 817-820-4815 | |
Alisa Gay Peterson, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 411 N Belknap St, Stephenville, TX 76401 Phone: 254-965-1152 Fax: 254-965-1156 |