Jean Elizze Mabute Charles, DO | |
855 Montgomery St Fl 6, Fort Worth, TX 76107-2553 | |
(817) 735-7625 | |
Not Available |
Full Name | Jean Elizze Mabute Charles |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 7 Years |
Location | 855 Montgomery St Fl 6, Fort Worth, 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 |
---|---|---|---|
1376075507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | T1316 (Texas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | BP20065105 (Texas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oliver Street 5.01(a) Inc | 0042464125 | 141 |
Entity Name | University Of North Texas Health Science Center At Fort Worth |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376645564 PECOS PAC ID: 6103717350 Enrollment ID: O20040324001382 |
Entity Name | Oliver Street 5.01(a) Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
Entity Name | Concierge Dermatology Management, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134615206 PECOS PAC ID: 8820341993 Enrollment ID: O20181019002091 |
Mailing Address | Practice Location Address |
---|---|
Jean Elizze Mabute Charles, DO 855 Montgomery St, Fl 6, Fort Worth, TX 76107-2553 Ph: (682) 582-2921 | Jean Elizze Mabute Charles, DO 855 Montgomery St Fl 6, Fort Worth, TX 76107-2553 Ph: (817) 735-7625 |
Diego Esteban Marra, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2801 S Hulen St Ste 400, Fort Worth, TX 76109 Phone: 817-921-2838 | |
Dr. Allison Beckworth Readinger, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 800 8th Ave Ste 326, Fort Worth, TX 76104 Phone: 817-885-8222 Fax: 817-885-8663 | |
Kimberly J Parham, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6600 Bryant Irvin Rd, Fort Worth, TX 76132 Phone: 817-820-0011 Fax: 817-820-0073 | |
Molly Mae Warthan, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5751 Edwards Ranch Rd Ste 101, Fort Worth, TX 76109 Phone: 817-923-8220 Fax: 817-923-9004 | |
Dr. Stephen D Maberry, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1200 W Rosedale St, Fort Worth, TX 76104 Phone: 817-336-8131 | |
Dr. James Richmond Mccarty, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4305 S Hulen St, Fort Worth, TX 76109 Phone: 817-920-9023 Fax: 817-923-6013 | |
Bryan J Carroll, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 200, Fort Worth, TX 76132 Phone: 817-292-3376 Fax: 844-886-8347 |