| Sean Daryl Wengroff, MD | |
|
540 W 15th St, Hereford, TX 79045 | |
| (806) 364-7512 | |
| (806) 349-5652 |
| Full Name | Sean Daryl Wengroff |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 540 W 15th St, Hereford, 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 |
|---|---|---|---|
| 1043273873 | NPI | - | NPPES |
| 163758901 | Medicaid | TX | |
| 8K4080 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | L4167 (Texas) | Secondary |
| 207V00000X | Obstetrics & Gynecology | L4167 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Maxie C Sprott Ii Md Pa | 6800980525 | 2 |
| Entity Name | Deaf Smith County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568454403 PECOS PAC ID: 8123923497 Enrollment ID: O20040510000475 |
| Entity Name | Maxie C Sprott Ii Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326134594 PECOS PAC ID: 6800980525 Enrollment ID: O20090202000108 |
| Entity Name | Texas Health Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992473391 PECOS PAC ID: 5597153221 Enrollment ID: O20211028001587 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Daryl Wengroff, MD 540 W 15th St, Hereford, TX 79045-2820 Ph: (806) 364-7512 | Sean Daryl Wengroff, MD 540 W 15th St, Hereford, TX 79045 Ph: (806) 364-7512 |
Dr. Tabitha Davies, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 540 W 15th St, Hereford, TX 79045 Phone: 806-364-7512 | |
Dr. Larry Lorenzo Mccullough, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 540 W 15th St, Hereford, TX 79045 Phone: 806-364-7512 Fax: 806-364-5256 |