| Jonathan Barry Heistein, MD | |
|
800 8th Ave, Fort Worth, TX 76104-2619 | |
| (817) 820-0000 | |
| (817) 820-0097 |
| Full Name | Jonathan Barry Heistein |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 29 Years |
| Location | 800 8th Ave, Fort Worth, 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 |
|---|---|---|---|
| 1972590404 | NPI | - | NPPES |
| 108590 | Other | TX | AMERIGROUP |
| 7569341 | Other | TX | AETNA |
| 0007JD | Other | TX | BLUE CROSS/BLUE SHIELD |
| 158570718 | Other | TX | PACIFICARE |
| 865822 | Other | TX | USA MANAGED CARE |
| 150089401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | L3330 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jonathan B. Heistein, Md, Pa | 7810170800 | 2 |
| Entity Name | Jonathan B. Heistein, Md, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114162807 PECOS PAC ID: 7810170800 Enrollment ID: O20110329000751 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Barry Heistein, MD 800 8th Ave, Suite 240, Fort Worth, TX 76104-2601 Ph: (817) 820-0000 | Jonathan Barry Heistein, MD 800 8th Ave, Fort Worth, TX 76104-2619 Ph: (817) 820-0000 |
Theodore William Nagel, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1250 8th Ave Ste 265, Fort Worth, TX 76104 Phone: 682-200-8580 Fax: 682-200-8581 | |
Dr. Juan Carlos Martinez Grullon, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1250 8th Ave Ste 265, Fort Worth, TX 76104 Phone: 682-200-8580 Fax: 682-200-8581 | |
Mr. Thanapoom Boonipat, Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-702-1100 | |
Dr. Steven M Camp, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3455 Locke Avenue, Suite 320, Fort Worth, TX 76107 Phone: 817-228-4315 Fax: 682-316-3049 | |
Dr. Mark Anthony Daniels, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 12th Ave Ste 100, Fort Worth, TX 76104 Phone: 817-810-0770 Fax: 817-820-0242 | |
Eric Heinz Hubli, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2500 Fax: 682-885-2510 | |
Dr. Dennis I Schuster, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 747 8th Ave, Fort Worth, TX 76104 Phone: 817-335-6801 Fax: 817-335-4663 |