| Meredith L Lightfoot, MD | |
|
6124 W Parker Rd, Ste 434, Plano, TX 75093-8122 | |
| (214) 691-1902 | |
| (214) 987-1845 |
| Full Name | Meredith L Lightfoot |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 27 Years |
| Location | 6124 W Parker Rd, Plano, 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 |
|---|---|---|---|
| 1083661052 | NPI | - | NPPES |
| P00004642 | Other | TX | RRMCR OTHER |
| P00046427 | Other | TX | RRMCR |
| 160650101 | Medicaid | TX | |
| 8K1159 | Other | BCBS PROVIDER ID | |
| 160650102 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | L2420 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Center For Diagnostics & Surgery | Plano, TX | Hospital |
| Texas Health Presbyterian Hospital Plano | Plano, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Clinics Of North Texas, Pllc | 5496736415 | 69 |
| Entity Name | Urology Clinics Of North Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780971549 PECOS PAC ID: 5496736415 Enrollment ID: O20040526000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Meredith L Lightfoot, MD 3600 Gaston Ave, Suite 1205, Dallas, TX 75246-1800 Ph: (214) 692-8262 | Meredith L Lightfoot, MD 6124 W Parker Rd, Ste 434, Plano, TX 75093-8122 Ph: (214) 691-1902 |
David H Ewalt, M.D. Urology Medicare: Medicare Enrolled Practice Location: 4001 W 15th St Ste 300, Plano, TX 75093 Phone: 214-750-0808 Fax: 682-303-9572 | |
Mr. Stephen J Lieman, M.D. Urology Medicare: Medicare Enrolled Practice Location: 5300 W Plano Pkwy, Plano, TX 75093 Phone: 972-612-8037 Fax: 972-867-6049 | |
William R Strand, M.D. Urology Medicare: Medicare Enrolled Practice Location: 4001 W 15th St, Suite 300, Plano, TX 75093 Phone: 214-750-0808 Fax: 214-750-0120 | |
Dr. Jeffrey Scott Hassell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5300 W Plano Pkwy, Plano, TX 75093 Phone: 972-612-8037 Fax: 972-867-6049 | |
Michael G Wierschem, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 5425 W Spring Creek Pkwy, Suite 150, Plano, TX 75024 Phone: 972-403-5425 Fax: 214-501-1252 | |
Dr. Vince J. Rogenes, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5300 W Plano Pkwy, Plano, TX 75093 Phone: 972-612-8037 Fax: 972-867-6049 |