| Stephen P Maniscalco, MD | |
|
9201 Pinecroft Dr, Suite 210, Shenandoah, TX 77380-3222 | |
| (936) 441-1010 | |
| (832) 442-3081 |
| Full Name | Stephen P Maniscalco |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 31 Years |
| Location | 9201 Pinecroft Dr, Shenandoah, 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 |
|---|---|---|---|
| 1891716403 | NPI | - | NPPES |
| 145174205 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | L1655 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Home Therapeutic Solutions, Llc | Houston, TX | Home health agency |
| At Home Healthcare | Henderson, TX | Home health agency |
| Atc Home Health Llc | Porter, TX | Home health agency |
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| Memorial Hermann Northeast Hospital | Humble, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Heart, Lung, And Vein Surgeons | 3476814120 | 2 |
| Entity Name | Baylor St Lukes Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740485879 PECOS PAC ID: 9133213192 Enrollment ID: O20070920000863 |
| Entity Name | Elite Heart, Lung, And Vein Surgeons |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982119061 PECOS PAC ID: 3476814120 Enrollment ID: O20180221001308 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen P Maniscalco, MD 920 Medical Plaza Dr Ste 360, Shenandoah, TX 77380-3271 Ph: (281) 803-8482 | Stephen P Maniscalco, MD 9201 Pinecroft Dr, Suite 210, Shenandoah, TX 77380-3222 Ph: (936) 441-1010 |
Dr. David William Daniel, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 118 Shenandoah Dr Ste A, Shenandoah, TX 77381 Phone: 281-583-4000 Fax: 281-719-8302 | |
Dr. Clifford Mark Kitten, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 118 Shenandoah Dr, Suite A, Shenandoah, TX 77381 Phone: 281-583-4000 Fax: 281-580-5079 |