| Mark Lane Madenwald, MD | |
|
5304 Prince Ln, Flower Mound, TX 75022-8103 | |
| (214) 734-4868 | |
| Not Available |
| Full Name | Mark Lane Madenwald |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 35 Years |
| Location | 5304 Prince Ln, Flower Mound, 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 |
|---|---|---|---|
| 1932197662 | NPI | - | NPPES |
| 042138003 | Other | TX | CSHCN |
| 89532Z | Other | TX | BCBS |
| 042138002 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | J2173 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ut Health East Texas Athens Hospital | Athens, TX | Hospital |
| Texas Health Harris Methodist Hospital Stephenvill | Stephenville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acs Primary Care Physicians Southwest Pa | 1850204363 | 194 |
| Texas Medicine Resources, Llp | 5890688212 | 229 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Texas Medicine Resources, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Concord North Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952761173 PECOS PAC ID: 2860791688 Enrollment ID: O20160429000472 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Lane Madenwald, MD 5304 Prince Ln, Flower Mound, TX 75022-8103 Ph: (214) 513-2800 | Mark Lane Madenwald, MD 5304 Prince Ln, Flower Mound, TX 75022-8103 Ph: (214) 734-4868 |
Jacob John Novak, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2628 Long Prairie Rd, Suite 107, Flower Mound, TX 75022 Phone: 972-899-6666 Fax: 972-899-6665 | |
Dr. Roberto Antonio Lopez-freeman, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4400 Long Prairie Rd, Emergency Department, Flower Mound, TX 75028 Phone: 469-322-7100 | |
Nazanin Williams, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4400 Long Prairie Road, Flower Mound, TX 75028 Phone: 512-452-8533 | |
John Michael Therwhanger, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2913 Carterton Ct, Flower Mound, TX 75022 Phone: 214-564-1525 | |
Dr. Long Van Nguyen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4400 Long Prairie Rd, Flower Mound, TX 75028 Phone: 469-322-7100 | |
Shrirang Shridhar Neurgaonkar, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3611 Morriss Rd, Flower Mound, TX 75028 Phone: 972-874-3776 Fax: 972-691-1444 | |
James Michael Muzzarelli, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2628 Long Prairie Rd, Flower Mound, TX 75022 Phone: 972-899-6660 |