| Edgar Bacares, MD | |
|
2120 N Mays St, Round Rock, TX 78664-2192 | |
| (877) 800-5722 | |
| (512) 257-1763 |
| Full Name | Edgar Bacares |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2120 N Mays St, Round Rock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225021256 | NPI | - | NPPES |
| 01971448 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 209528 (New York) | Secondary |
| 208000000X | Pediatrics | M9827 (Texas) | Primary |
| Entity Name | Lone Star Circle Of Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891746970 PECOS PAC ID: 5193709392 Enrollment ID: O20040622000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Bacares, MD 2423 Williams Dr Ste 107, Georgetown, TX 78628-3269 Ph: (877) 800-5722 | Edgar Bacares, MD 2120 N Mays St, Round Rock, TX 78664-2192 Ph: (877) 800-5722 |
Debaroti M Addy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15930 S Great Oaks Dr, Building B, Round Rock, TX 78681 Phone: 512-255-8868 Fax: 512-255-8869 | |
Johelin F De Freitas Hernandez, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 425 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-509-0285 | |
Edgar Noe Navarro Garza, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 505 W Louis Henna Blvd, Ste 100, Round Rock, TX 78728 Phone: 855-481-8375 Fax: 512-788-5819 | |
Samantha Dieterich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78664 Phone: 512-509-0203 | |
Dr. Anna Elizabeth O'connor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 303 E Main St, Round Rock, TX 78664 Phone: 512-732-2774 Fax: 512-344-9221 | |
Trevor Turner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 7200 Wyoming Spgs, Suite #1500, Round Rock, TX 78681 Phone: 512-218-8696 Fax: 512-218-9532 | |
Dr. Rafael A De Haro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7200 Wyoming Spgs Ste 200, Round Rock, TX 78681 Phone: 512-244-5959 Fax: 512-244-1156 |