| Randall T Richwine, DO | |
|
5750 W Vickery Blvd Ste 104, Fort Worth, TX 76107-7448 | |
| (817) 732-2878 | |
| (817) 732-0648 |
| Full Name | Randall T Richwine |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 5750 W Vickery Blvd Ste 104, Fort Worth, 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 |
|---|---|---|---|
| 1710910740 | NPI | - | NPPES |
| 160039703 | Medicaid | TX | |
| 160039706 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L6600 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Encompass Home Health Of Dfw | Grapevine, TX | Home health agency |
| Hospice Of San Antonio | San antonio, TX | Hospice |
| Texas Health Harris Methodist Hospital Southwest F | Fort worth, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Health Physicians Group | 4385535954 | 1232 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall T Richwine, DO 5750 W Vickery Blvd Ste 104, Fort Worth, TX 76107-7448 Ph: (817) 732-2878 | Randall T Richwine, DO 5750 W Vickery Blvd Ste 104, Fort Worth, TX 76107-7448 Ph: (817) 732-2878 |
Jonathan A Lazarini, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265 | |
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987 | |
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005 | |
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034 | |
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 Fax: 817-257-7279 | |
Dr. Christian Ann Lance, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 8th Ave Ste 412, Fort Worth, TX 76104 Phone: 817-662-2006 Fax: 817-623-9598 | |
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278 |