| Nolan S Malthesen, MD | |
|
7125 New Sanger Avenue, Suite 516, Waco, TX 76712 | |
| (254) 752-9368 | |
| (256) 752-2201 |
| Full Name | Nolan S Malthesen |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 20 Years |
| Location | 7125 New Sanger Avenue, Waco, 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 |
|---|---|---|---|
| 1285823526 | NPI | - | NPPES |
| 8V9723 | Other | TX | BCBSTX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | N8120 (Texas) | Secondary |
| 207X00000X | Orthopaedic Surgery | N8120 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Home Care | Waco, TX | Home health agency |
| Providence Health Center | Waco, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3772 |
| Providence Health Alliance | 6305731068 | 123 |
| Entity Name | Providence Health Alliance |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932210838 PECOS PAC ID: 6305731068 Enrollment ID: O20040220000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Nolan S Malthesen, MD 6311 Southwest Blvd, Benbrook, TX 76132-1063 Ph: (817) 731-9400 | Nolan S Malthesen, MD 7125 New Sanger Avenue, Suite 516, Waco, TX 76712 Ph: (254) 752-9368 |
Dr. Bradley Dale Gilliam, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 Hillcrest Medical Blvd Ste 200, Waco, TX 76712 Phone: 254-741-1400 Fax: 254-741-1428 | |
Jerry A Benham, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7125 New Sanger Ave, Suite 516, Waco, TX 76712 Phone: 254-752-9638 Fax: 254-752-2201 | |
Dr. James A Bowden, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7125 New Sanger Rd, Suite B, Waco, TX 76712 Phone: 254-754-0375 Fax: 254-754-2667 | |
Ryan Wesley Fairchild, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712 Phone: 254-741-1400 | |
Dr. Chad Stephen Conner, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6600 Fish Pond Rd, Suite 201, Waco, TX 76710 Phone: 254-752-9638 | |
Dr. Edward Garrison Benton Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 Hillcrest Medical Blvd Ste 2, Waco, TX 76712 Phone: 254-741-1400 Fax: 254-741-1428 |