| Robert E Edmonson, MD | |
|
221 W Colorado Blvd, Ste 625, Dallas, TX 75208-2363 | |
| (214) 946-5165 | |
| (214) 946-4876 |
| Full Name | Robert E Edmonson |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 221 W Colorado Blvd, Dallas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124062005 | NPI | - | NPPES |
| 060036498 | Other | TX | RAILROAD MEDICARE |
| 88K978 | Other | TX | BLUE CROSS BLUE SHIELD |
| 122747203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | D0861 (Texas) | Primary |
| Entity Name | Premier Cardiovascular Care Of Dallas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356892558 PECOS PAC ID: 5597046672 Enrollment ID: O20170104000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Edmonson, MD 221 W Colorado Blvd, Ste 625, Dallas, TX 75208-2363 Ph: (214) 946-5165 | Robert E Edmonson, MD 221 W Colorado Blvd, Ste 625, Dallas, TX 75208-2363 Ph: (214) 946-5165 |
Uma B.r.k Pakkivenkata, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 215, Dallas, TX 75231 Phone: 214-396-4950 Fax: 877-423-5360 | |
Dr. Ariel Marcelo Modrykamien, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 960, Dallas, TX 75246 Phone: 402-972-6078 | |
Benjamin Seth Martinez, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3111 Fax: 214-648-5461 | |
Vijaya Mummadi, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9900 N Central Expy Ste 225, Dallas, TX 75231 Phone: 469-646-8880 Fax: 469-646-8884 | |
Ting-yi Chen, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2800 Fax: 214-645-2808 | |
William Cook Langmade, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1441 N Beckley Ave, Dallas, TX 75203 Phone: 214-947-2306 | |
Jacqueline Nicole Horst, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 221 W Colorado Blvd Ste 525, Dallas, TX 75208 Phone: 214-960-5681 |