| Prithvi Bomdica, MD | |
|
1201 W Grande Blvd, Tyler, TX 75703-6124 | |
| (903) 597-4644 | |
| Not Available |
| Full Name | Prithvi Bomdica |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 6 Years |
| Location | 1201 W Grande Blvd, Tyler, 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 |
|---|---|---|---|
| 1699149500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207WX0107X | Ophthalmology - Retina Specialist | W8297 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Chesterfield, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Retina Consultants Llc | 9537259957 | 16 |
| Retina Consultants Llc | 9537259957 | 16 |
| Entity Name | Retina Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700175395 PECOS PAC ID: 9537259957 Enrollment ID: O20110524000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Prithvi Bomdica, MD 1201 W Grande Blvd, Tyler, TX 75703-6124 Ph: (903) 597-4644 | Prithvi Bomdica, MD 1201 W Grande Blvd, Tyler, TX 75703-6124 Ph: (903) 597-4644 |
Mr. Samuel Anthony Minaker, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1201 W Grande Blvd, Tyler, TX 75703 Phone: 903-597-4644 Fax: 903-266-9449 |
Ronald J Pinkenburg, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 2440 E 5th St, Tyler, TX 75701 Phone: 903-595-0500 Fax: 903-595-2153 |
Dr. Ming Lu, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-531-4733 |
Gary L Womack, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 |
Mrs. Rebecca O Jones, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-5491 |
Dr. Jeremy Russell Cefalu, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1327 Troup Hwy, Tyler, TX 75701 Phone: 903-606-4733 |
Michael C. Ford, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 714 Turtle Creek Dr, Tyler, TX 75701 Phone: 903-630-5037 Fax: 903-258-9643 |