| William Richard Vandiver, MD | |
|
108 E. Us Hwy Hwy 80 Suite 150, Forney, TX 75126-8703 | |
| (972) 564-4444 | |
| (833) 320-1559 |
| Full Name | William Richard Vandiver |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 33 Years |
| Location | 108 E. Us Hwy Hwy 80 Suite 150, Forney, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750323630 | NPI | - | NPPES |
| 82V196 | Other | TX | BCBS |
| 040025101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | K9195 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hamilton Hospital | Olney, TX | Hospital |
| Texas Health Presbyterian Hospital Kaufman | Kaufman, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baylor County Hospital District | 6103739222 | 22 |
| Kaufman Orthopedic Pain Management Pllc | 6507186400 | 3 |
| Olney-hamilton Hospital District | 9133029077 | 15 |
| Entity Name | Texas Health Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114395969 PECOS PAC ID: 4385535954 Enrollment ID: O20040323000759 |
| Entity Name | Baylor County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194893263 PECOS PAC ID: 6103739222 Enrollment ID: O20040512000980 |
| Entity Name | County Of Clay |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639340748 PECOS PAC ID: 4981689783 Enrollment ID: O20040701001413 |
| Entity Name | Olney-hamilton Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801158787 PECOS PAC ID: 9133029077 Enrollment ID: O20120727000642 |
| Entity Name | Kaufman Orthopedic Pain Management Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013300862 PECOS PAC ID: 6507186400 Enrollment ID: O20150515001916 |
| Mailing Address | Practice Location Address |
|---|---|
| William Richard Vandiver, MD 108 E Us Highway 80 Ste 150, Forney, TX 75126-8703 Ph: (972) 564-4444 | William Richard Vandiver, MD 108 E. Us Hwy Hwy 80 Suite 150, Forney, TX 75126-8703 Ph: (972) 564-4444 |