| Javier Colon-polanco, MD | |
|
2402 W Morton St, Ste 146, Denison, TX 75020-1476 | |
| (903) 465-6043 | |
| (903) 463-4496 |
| Full Name | Javier Colon-polanco |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 35 Years |
| Location | 2402 W Morton St, Denison, 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 |
|---|---|---|---|
| 1427024470 | NPI | - | NPPES |
| 115583002 | Medicaid | TX | |
| 85X576 | Other | TX | BCBS PROV # |
| 100220200A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | J5293 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Valley Baptist Medical Center- Brownsville | Brownsville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Ii Pa | 2365701737 | 19 |
| Harlingen Anesthesia Associates | 5294637112 | 40 |
| Entity Name | Harlingen Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093727455 PECOS PAC ID: 5294637112 Enrollment ID: O20040122000244 |
| Entity Name | Northstar Anesthesia Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477066405 PECOS PAC ID: 2365701737 Enrollment ID: O20180110000102 |
| Mailing Address | Practice Location Address |
|---|---|
| Javier Colon-polanco, MD Po Box 1426, Denison, TX 75021-1426 Ph: (903) 465-6043 | Javier Colon-polanco, MD 2402 W Morton St, Ste 146, Denison, TX 75020-1476 Ph: (903) 465-6043 |
Tyler Stewart, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 5016 N Highway 75, Denison, TX 75020 Phone: 903-416-4000 | |
Dr. Kenneth Sunghoon Choi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4616 Us Hwy 75 Ste 203, Denison, TX 75020 Phone: 903-416-6470 Fax: 903-416-6471 |