| Tracey Angadicheril, | |
|
301 University Blvd, Galveston, TX 77555-1250 | |
| (409) 744-4030 | |
| (409) 740-4187 |
| Full Name | Tracey Angadicheril |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 11 Years |
| Location | 301 University Blvd, Galveston, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811307473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | Q9942 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthtexas Provider Network | 1355254210 | 2048 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Entity Name | Healthtexas Provider Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Tracey Angadicheril, 301 University Blvd, Galveston, TX 77555-1250 Ph: (409) 744-4030 | Tracey Angadicheril, 301 University Blvd, Galveston, TX 77555-1250 Ph: (409) 744-4030 |
Angela J Shepherd, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-744-4030 Fax: 409-740-4187 | |
Mashhoor Beragdar, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Department Of Geriatric Medicine, Mail Route 0177, Galveston, TX 77555 Phone: 409-266-9634 Fax: 409-747-3585 | |
Dr. Eladio Camarillo Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2166 Fax: 409-772-2663 | |
Victor S Sierpina, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-744-4030 Fax: 409-740-4187 | |
Andrew Janicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2166 Fax: 409-772-2663 | |
Eguono Ejayeriese, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Harborside Dr, Galveston, TX 77550 Phone: 409-772-2166 | |
Jennifer R Raley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 281-614-1256 Fax: 281-614-1587 |