| Mary P Van Hal, MD | |
|
100 Bourland Rd Ste 150, Keller, TX 76248-3595 | |
| (817) 753-6250 | |
| (817) 431-1441 |
| Full Name | Mary P Van Hal |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 46 Years |
| Location | 100 Bourland Rd Ste 150, Keller, 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 |
|---|---|---|---|
| 1902976442 | NPI | - | NPPES |
| 204635102 | Medicaid | TX | |
| 204635101 | Medicaid | TX | |
| 204635103 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | H9440 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medicall Home Health Services Llc | Keller, TX | Home health agency |
| Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
| Texas Health Harris Methodist Hospital Alliance | Fort worth, TX | Hospital |
| Medical City Alliance | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Texas Health Physicians Group | 4385535954 | 1232 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary P Van Hal, MD 100 Bourland Rd Ste 150, Keller, TX 76248-3595 Ph: (817) 753-6250 | Mary P Van Hal, MD 100 Bourland Rd Ste 150, Keller, TX 76248-3595 Ph: (817) 753-6250 |
Edwin O Del Rosario, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8861 Davis Blvd, Suite 100, Keller, TX 76248 Phone: 817-431-5073 | |
Nadia Alawi-kakomanolis, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 S Main St, Keller, TX 76248 Phone: 817-431-2800 Fax: 817-431-0371 | |
Mary Katherine Watters, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Bourland Rd Ste 130, Keller, TX 76248 Phone: 817-359-9000 Fax: 817-284-8943 | |
Dr. Niraj Mahendra Mehta, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8845 Davis Blvd Ste 100, Keller, TX 76248 Phone: 817-900-9525 Fax: 817-900-9545 | |
Scott Brandon Mccord, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Bourland Rd Ste 130, Keller, TX 76248 Phone: 817-284-4994 Fax: 817-284-8943 | |
Charles O Jaiyeoba, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1866 Keller Pkwy, Keller, TX 76248 Phone: 682-224-3748 Fax: 682-841-0039 |