| Fonda Chan, | |
|
8390 Lyndon B Johnson Fwy Ste 1000, Dallas, TX 75243-1288 | |
| (214) 750-9977 | |
| (214) 750-9983 |
| Full Name | Fonda Chan |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 17 Years |
| Location | 8390 Lyndon B Johnson Fwy Ste 1000, Dallas, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831446665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 252590 (Massachusetts) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | R6985 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Integris Baptist Medical Center, Inc | Oklahoma city, OK | Hospital |
| Medical City Dallas Hospital | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neurology Consultants Of Dallas, P.a. | 0042289340 | 21 |
| Integris Ambulatory Care Corporation | 2365408465 | 564 |
| Entity Name | Neurology Consultants Of Dallas, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780875807 PECOS PAC ID: 0042289340 Enrollment ID: O20041001000743 |
| Entity Name | Access Telecare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303080 PECOS PAC ID: 7810204831 Enrollment ID: O20150923000991 |
| Mailing Address | Practice Location Address |
|---|---|
| Fonda Chan, 80 Gardner St Apt 11, Allston, MA 02134-2236 Ph: (410) 258-8336 | Fonda Chan, 8390 Lyndon B Johnson Fwy Ste 1000, Dallas, TX 75243-1288 Ph: (214) 750-9977 |
Shirali Patel, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 6363 Forest Park Road 7th Floor Suite749, Dallas, TX 75390 Phone: 214-645-8500 Fax: 214-645-3775 | |
Mr. Jonathan Devries, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6201 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-633-0580 | |
Abdullah Shoaib, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6201 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3916 Fax: 214-648-3916 | |
Michael R Rosenthal, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 8210 Walnut Hill Ln, #619, Dallas, TX 75231 Phone: 214-345-5630 Fax: 214-345-5632 | |
Steve A Roche, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 12850 Hillcrest Rd, Suite F-206, Dallas, TX 75230 Phone: 972-404-8253 Fax: 972-701-0874 | |
Catherine Karni, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-456-5900 | |
Dr. William Robert Olmsted, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8330 Meadow Rd, Ste 114, Dallas, TX 75231 Phone: 214-878-7442 Fax: 214-750-1971 |