| Samuel Tredemeyer, DO | |
|
4400 Long Prairie Rd, Flower Mound, TX 75028-1892 | |
| (469) 322-7481 | |
| (469) 322-7807 |
| Full Name | Samuel Tredemeyer |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 21 Years |
| Location | 4400 Long Prairie Rd, Flower Mound, 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 |
|---|---|---|---|
| 1366570855 | NPI | - | NPPES |
| D16150185 | Other | MI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | P2386 (Texas) | Primary |
| 207R00000X | Internal Medicine | 5101016014 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 2979 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Wisconsin Region Inc | 0345152443 | 458 |
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Tredemeyer, DO 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 Ph: (469) 322-7481 | Samuel Tredemeyer, DO 4400 Long Prairie Rd, Flower Mound, TX 75028-1892 Ph: (469) 322-7481 |
Dr. Deval Desai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4370 Medical Arts Dr Ste 300, Flower Mound, TX 75028 Phone: 972-874-2042 | |
Prasanthi Tondapu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3311 Yucca Dr Ste 100, Flower Mound, TX 75028 Phone: 469-930-4655 Fax: 877-776-3240 | |
Bobby Chu, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Cross Timbers Rd, Suite 1240, Flower Mound, TX 75028 Phone: 972-539-8111 Fax: 972-539-1760 | |
Bradley Scott Colton, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4370 Medical Arts Dr Ste 100, Flower Mound, TX 75028 Phone: 972-537-4100 Fax: 972-537-4104 | |
Mona Khalid, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 Long Prairie Rd, Flower Mound, TX 75028 Phone: 469-322-7481 Fax: 469-322-7807 | |
Dr. Randell Lynn Mckenzie Sr., M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3604 Alberta Ln, Flower Mound, TX 75022 Phone: 972-539-9016 Fax: 972-819-2379 | |
Dr. Shailesh Neil Mehta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3051 Churchill Dr Ste 120, Flower Mound, TX 75022 Phone: 469-496-2860 Fax: 469-496-2861 |