Richard C Bosacker, MD | |
6020 W Parker Rd Ste 420, Plano, TX 75093-8174 | |
(972) 244-1300 | |
(972) 244-1301 |
Full Name | Richard C Bosacker |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 6020 W Parker Rd Ste 420, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710938451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 37951 (Minnesota) | Secondary |
207Q00000X | Family Medicine | V7830 (Texas) | Primary |
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Mailing Address | Practice Location Address |
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Richard C Bosacker, MD 6020 W Parker Rd Ste 420, Plano, TX 75093-8174 Ph: (972) 244-1300 | Richard C Bosacker, MD 6020 W Parker Rd Ste 420, Plano, TX 75093-8174 Ph: (972) 244-1300 |
Elaine C. Timm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Matthew Garrett Weyenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5425 W Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 | |
Dr. Lorenzo Fredi Perez, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3821 W Spring Creek Pkwy, Plano, TX 75023 Phone: 972-599-0077 | |
Dr. Mahdi M Awwad, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4010 W Park Blvd, Plano, TX 75093 Phone: 724-824-2919 | |
Khanh Thoai Truong, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 6513 Chase Oaks Blvd Ste A, Plano, TX 75023 Phone: 972-509-0752 Fax: 972-517-8770 | |
Dr. Seema C Modi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5941 Dallas Pkwy Ste 100, Plano, TX 75093 Phone: 972-758-4455 Fax: 972-758-4433 | |
Dr. Gregory Alan Ennis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5655 West Spring Creek Pkwy, Suite 200, Plano, TX 75024 Phone: 972-599-9600 Fax: 972-599-9696 |