| Kent Alan Taub, MD | |
|
613 Fairway View Ter, Southlake, TX 76092-9550 | |
| (214) 649-1444 | |
| Not Available |
| Full Name | Kent Alan Taub |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 613 Fairway View Ter, Southlake, 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 |
|---|---|---|---|
| 1417061607 | NPI | - | NPPES |
| P00759870 | Other | TX | RAILROAD MEDICARE THRU HEB |
| 138767225 | Medicaid | TX | |
| 8AB544 | Other | TX | BCBSTX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | J6042 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Huntsville Hospital | Huntsville, AL | Hospital |
| Decatur Morgan Hospital - Decatur Campus | Decatur, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Decatur Morgan Emergency Medicine | 0446680862 | 26 |
| Emergency Physicians Group | 5496669350 | 50 |
| Entity Name | Emergency Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659366649 PECOS PAC ID: 5496669350 Enrollment ID: O20031114000395 |
| Entity Name | Island Medical Alabama Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104097666 PECOS PAC ID: 3072682103 Enrollment ID: O20080515000492 |
| Entity Name | Immh Scottsboro Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558762393 PECOS PAC ID: 2567787344 Enrollment ID: O20150227001970 |
| Entity Name | Decatur Morgan Emergency Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316571615 PECOS PAC ID: 0446680862 Enrollment ID: O20200424001929 |
| Mailing Address | Practice Location Address |
|---|---|
| Kent Alan Taub, MD 613 Fairway View Ter, Southlake, TX 76092-9550 Ph: (214) 649-1444 | Kent Alan Taub, MD 613 Fairway View Ter, Southlake, TX 76092-9550 Ph: (214) 649-1444 |
Daniel Peckenpaugh, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-748-8700 | |
Robert Frank Lutz Iii, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1545 E Southlake Blvd, Southlake, TX 76092 Phone: 817-557-8205 | |
Kristina Marie Dennington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Avenue, Ste #100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 | |
Meredith S Krebel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2727 E Southlake Blvd, Southlake, TX 76092 Phone: 682-885-6000 Fax: 682-885-6050 | |
James Alan Dennington, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 630 N Kimball Ave, Ste#100, Southlake, TX 76092 Phone: 817-421-8777 Fax: 817-421-4388 | |
Dr. Richard Jackson, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 505 Regency Xing, Southlake, TX 76092 Phone: 817-913-6144 |