| Tannon Dajuan Carroll, MD | |
|
301 Seton Pkwy, Suite 302, Round Rock, TX 78665-8002 | |
| (512) 324-4812 | |
| (512) 324-4728 |
| Full Name | Tannon Dajuan Carroll |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 20 Years |
| Location | 301 Seton Pkwy, Round Rock, 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 |
|---|---|---|---|
| 1154484715 | NPI | - | NPPES |
| 328854003 | Medicaid | TX | |
| 8DZ199 | Other | TX | BCBS |
| 328854004 | Medicaid | TX | |
| 328854001 | Medicaid | TX | |
| 8ET191 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | P7887 (Texas) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | P7887 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Seton Medical Center Williamson | Round rock, TX | Hospital |
| Ascension Seton Medical Center Austin | Austin, TX | Hospital |
| Cedar Park Regional Medical Center | Cedar park, TX | Hospital |
| Ascension Seton Highland Lakes | Burnet, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Seton Family Of Doctors | 0941333280 | 721 |
| Entity Name | Seton Family Of Doctors |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588997233 PECOS PAC ID: 0941333280 Enrollment ID: O20100806000260 |
| Entity Name | Tri-county Clinical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336456227 PECOS PAC ID: 1153502869 Enrollment ID: O20110228000657 |
| Mailing Address | Practice Location Address |
|---|---|
| Tannon Dajuan Carroll, MD 1400 N Ih 35, Suite 300, Austin, TX 78701-1926 Ph: (512) 324-8300 | Tannon Dajuan Carroll, MD 301 Seton Pkwy, Suite 302, Round Rock, TX 78665-8002 Ph: (512) 324-4812 |
Dr. Vivian Cline, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Seton Pkwy, Suite 104, Round Rock, TX 78665 Phone: 512-687-2300 Fax: 512-687-2350 | |
Dr. Ahmed Nezar Shobassy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd Bldg A, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-509-2229 | |
Vu Nguyen, Internal Medicine Medicare: Medicare Enrolled Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 | |
Dr. Glenn Robinson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7200 Wyoming Springs Dr Ste 1300, Round Rock, TX 78681 Phone: 512-244-2273 Fax: 512-244-3179 | |
Dr. Rafael Eduardo Gonzalez, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-218-6330 | |
Dinkar Rupakula, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 425 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 Fax: 512-509-0285 | |
Sayf Yassin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Seton Pkwy, Round Rock, TX 78665 Phone: 512-324-4170 |