| Mr Theodore Carroll Klem, MD | |
|
9433 Bee Caves Rd, Building 3, Suite 103, Austin, TX 78733 | |
| (512) 649-7515 | |
| (512) 649-1913 |
| Full Name | Mr Theodore Carroll Klem |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 9433 Bee Caves Rd, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063702876 | NPI | - | NPPES |
| 375277YLP1 | Other | TX | MEDICARE PTAN |
| 375277YKXV | Other | TX | MEDICARE PTAN |
| 375277YLP2 | Other | TX | MEDICARE PTAN |
| 375277YKXY | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD23168 (Maine) | Secondary |
| 207R00000X | Internal Medicine | Q0485 (Texas) | Primary |
| 207R00000X | Internal Medicine | BP10039985 (Texas) | Secondary |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
| Entity Name | Wellmed Networks, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386948677 PECOS PAC ID: 6002091261 Enrollment ID: O20110503000555 |
| Entity Name | Lonestar Hospital Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518237429 PECOS PAC ID: 6709049703 Enrollment ID: O20120530000620 |
| Entity Name | Usacs Integrated Acute Care Services Of Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801300322 PECOS PAC ID: 7618237264 Enrollment ID: O20180131000478 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Theodore Carroll Klem, MD 9433 Bee Caves Rd, Building 3, Suite 103, Austin, TX 78733 Ph: (512) 649-7515 | Mr Theodore Carroll Klem, MD 9433 Bee Caves Rd, Building 3, Suite 103, Austin, TX 78733 Ph: (512) 649-7515 |
Dr. Tatiana B. Jacobson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746 Phone: 512-323-5465 Fax: 512-327-1390 | |
Preeti Venkatraman, M.B.B.S. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-7000 | |
Pritesh Harish Gandhi, M.D., M.P.H. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832 | |
Dr. Joshua Lane Davis, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705 Phone: 512-324-3440 | |
Dr. Grace Marie Grant-jennings, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Dr. Debra Ann Patt, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6204 Balcones Dr, Austin, TX 78731 Phone: 512-427-9400 Fax: 512-342-2723 | |
Dr. Matthew Morris Medlock, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247 |