| Rachel Leigh Theriault, MD | |
|
500 S Henderson St Ste 200, Ft Worth, TX 76104-2154 | |
| (817) 413-1500 | |
| (817) 413-1499 |
| Full Name | Rachel Leigh Theriault |
|---|---|
| Gender | Female |
| Speciality | Medical Oncology |
| Experience | 21 Years |
| Location | 500 S Henderson St Ste 200, Ft Worth, 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 |
|---|---|---|---|
| 1780822478 | NPI | - | NPPES |
| 200172903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RX0202X | Internal Medicine - Medical Oncology | M7685 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
| Texas Health Harris Methodist Hospital Southwest F | Fort worth, TX | Hospital |
| Baylor Scott & White All Saints Medical Center Fort Worth | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Oncology Pa | 5395658934 | 957 |
| Entity Name | Texas Oncology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Leigh Theriault, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Rachel Leigh Theriault, MD 500 S Henderson St Ste 200, Ft Worth, TX 76104-2154 Ph: (817) 413-1500 |
Heather Lea Branstetter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6317 Harris Pkwy Ste 300, Ft Worth, TX 76132 Phone: 817-361-6900 Fax: 817-522-1968 | |
Dr. Darren Wayne Lackan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6844 Harris Pkwy Ste 300, Ft Worth, TX 76132 Phone: 817-263-0007 Fax: 817-263-1118 | |
Poonam Puri, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 8th Ave, Ft Worth, TX 76104 Phone: 817-877-5292 | |
Justin L Martin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Ste 500, Ft Worth, TX 76104 Phone: 817-252-5000 Fax: 817-252-5060 | |
Dr. Simisola Kuye Williams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3308 Deen Rd, Ft Worth, TX 76106 Phone: 817-702-1100 Fax: 817-702-7097 | |
Gabriel T Faz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Ft Worth, TX 76104 Phone: 817-702-1100 Fax: 817-702-1101 | |
Dr. Michael R Todd, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9108 Camp Bowie West Blvd, Ft Worth, TX 76116 Phone: 682-990-6492 Fax: 877-688-9560 |