| Mark S Adickes, MD | |
|
950 Campbell Road, Houston, TX 77024 | |
| (713) 464-0077 | |
| (713) 464-9582 |
| Full Name | Mark S Adickes |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 950 Campbell Road, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770673428 | NPI | - | NPPES |
| 01042041 | Other | TX | AMERIGROUP |
| 8W7163 | Other | TX | BCBS |
| P00435684 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | M3840 (Texas) | Primary |
| Entity Name | Baylor College Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053352914 PECOS PAC ID: 8224941265 Enrollment ID: O20031106000562 |
| Entity Name | Mark Provenzano Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720261456 PECOS PAC ID: 1557413044 Enrollment ID: O20090714000537 |
| Entity Name | Baylor College Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881026664 PECOS PAC ID: 8022243971 Enrollment ID: O20131030000972 |
| Entity Name | Advanced Surgeons & Physicians Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508030917 PECOS PAC ID: 8426304221 Enrollment ID: O20180710001216 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Adickes, MD 950 Campbell Road, Houston, TX 77024 Ph: (713) 464-0077 | Mark S Adickes, MD 950 Campbell Road, Houston, TX 77024 Ph: (713) 464-0077 |
Dr. David P Loncarich, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7401 Main St, Houston, TX 77030 Phone: 713-799-2300 Fax: 713-794-3378 | |
William Donovan, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5225 Katy Fwy, Ste 600, Houston, TX 77007 Phone: 832-200-7120 | |
Dr. Walter Richard Lowe, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6400 Fannin St Ste 1700, Houston, TX 77030 Phone: 713-500-6541 Fax: 713-500-0690 | |
Dr. Timothy Joseph Miller, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 17270 Red Oak Dr, Suite 200, Houston, TX 77090 Phone: 281-440-6960 Fax: 281-440-6205 | |
Michael Anthony Holzman, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St, Suite Jjl 310, Houston, TX 77030 Phone: 713-500-5154 | |
Michael Edward Berkeley, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1302 Waugh Dr # 684, Houston, TX 77019 Phone: 970-230-0154 Fax: 970-315-0374 | |
Dr. David W Wimberley, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7401 Main St, Houston, TX 77030 Phone: 713-799-2300 Fax: 713-794-3392 |