| Thomas Richard Windisch, MD | |
|
3601 21st St, Lubbock, TX 79410-1229 | |
| (806) 791-0399 | |
| (806) 791-0373 |
| Full Name | Thomas Richard Windisch |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 3601 21st St, Lubbock, 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 |
|---|---|---|---|
| 1073519419 | NPI | - | NPPES |
| 87468Y | Other | BLUE CROSS | |
| P7702 | Medicaid | NM | |
| 1146374 | Other | FIRST HEALTH | |
| 134467306 | Medicaid | TX | |
| 127103100 | Other | TX | FIRSTCARE |
| 300109576 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | J2419 (Texas) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | J2419 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Medical Center | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Covenant Medical Group | 6901889393 | 238 |
| Entity Name | Covenant Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376598904 PECOS PAC ID: 6901889393 Enrollment ID: O20040608000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Richard Windisch, MD 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844 | Thomas Richard Windisch, MD 3601 21st St, Lubbock, TX 79410-1229 Ph: (806) 791-0399 |
Kulia Kini Kakarala, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8445 | |
Gregory Scott Poe, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 | |
Brian James Bruening, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 3525 19th St, Lubbock, TX 79410 Phone: 806-687-8346 Fax: 888-856-2848 | |
Sinan Ali Qurban Ali Bana, MD Radiology Medicare: Medicare Enrolled Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 214-820-2361 | |
Scott Cranston Porter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4005 24th St, Lubbock, TX 79410 Phone: 806-792-2767 Fax: 888-861-8858 | |
David Kirk Jenkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 22nd Pl, Lubbock, TX 79410 Phone: 806-725-8000 |