| Stanley Carl Paetzold, MD | |
|
2101 S Coulter St, Amarillo, TX 79106 | |
| (806) 350-7744 | |
| (806) 350-7776 |
| Full Name | Stanley Carl Paetzold |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 31 Years |
| Location | 2101 S Coulter St, Amarillo, 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 |
|---|---|---|---|
| 1326129206 | NPI | - | NPPES |
| 02320045 | Medicaid | NM | |
| 200033590A | Medicaid | OK | |
| 110700503 | Medicaid | TX | |
| 14148503 | Other | CAQH | |
| 04-46442 | Other | KS | STATE MEDICAL LICENSE |
| 82940G | Other | TX | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 04-46442 (Kansas) | Secondary |
| 207P00000X | Emergency Medicine | K3375 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overland Park Reg Med Ctr | Overland park, KS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Medicine Services Of Ks, Pa | 4385009695 | 34 |
| Entity Name | The Childrens Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20050721001065 |
| Entity Name | Emergency Medicine Services Of Ks, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649979451 PECOS PAC ID: 4385009695 Enrollment ID: O20230420000588 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Carl Paetzold, MD 2101 S Coulter St, Amarillo, TX 79106-2513 Ph: (806) 350-7744 | Stanley Carl Paetzold, MD 2101 S Coulter St, Amarillo, TX 79106 Ph: (806) 350-7744 |
Joseph D Hollingsworth, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Wallace Blvd, Baptist Saint Anthony's Hospital, Amarillo, TX 79106 Phone: 806-212-2000 | |
Mike Preston Berry Jr., M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Wallace Blvd, Amarillo, TX 79106 Phone: 806-212-2000 Fax: 806-212-2735 | |
Christopher M Bradburry, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1501 S Coulter St, Amarillo, TX 79106 Phone: 806-354-1000 | |
Lance Martin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7561 Outlook Dr, Amarillo, TX 79106 Phone: 806-359-4701 | |
Matthew W Turney, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2101 S Coulter St, Amarillo, TX 79106 Phone: 806-350-7744 Fax: 806-350-7776 | |
Alicia Irene Balderas, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1616 S Kentucky St Ste B100, Amarillo, TX 79102 Phone: 806-355-8900 | |
Darrell I Morgan, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3440 Bell St, Suite 320, #186, Amarillo, TX 79109 Phone: 806-322-3230 |