| Dr Stephen Blake Tanner, MD | |
|
11011 Slide Rd Ste 2140w, Lubbock, TX 79424-2274 | |
| (806) 472-6699 | |
| (806) 472-6698 |
| Full Name | Dr Stephen Blake Tanner |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 11 Years |
| Location | 11011 Slide Rd Ste 2140w, Lubbock, 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 |
|---|---|---|---|
| 1700268059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R5943 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scott & White Artifical Kidney Unit | Temple, TX | Dialysis facility |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
| Baylor Scott & White Medical Center Hillcrest | Waco, TX | Hospital |
| Baylor Scott & White Medical Center - Marble Falls | Marble falls, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Blake Tanner, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Dr Stephen Blake Tanner, MD 11011 Slide Rd Ste 2140w, Lubbock, TX 79424-2274 Ph: (806) 472-6699 |
Mustafa Aly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-725-4130 | |
Janice Stachowiak, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-3150 Fax: 806-743-3168 | |
M Alan Sharif, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4802 N Loop 289, Lubbock, TX 79416 Phone: 806-788-0040 Fax: 806-788-0015 | |
Dr. Vernon Farthing, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3502 9th St, Ste. 210, Lubbock, TX 79415 Phone: 806-762-8461 | |
Ashref Mohamed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3415 19th St, Lubbock, TX 79410 Phone: 806-725-4130 | |
Sima Lina Shahbandar, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St # Ms 9410, Lubbock, TX 79430 Phone: 806-743-6840 | |
Howard P Hurd Ii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 |