| Gary Victor Bartholomew, DPM | |
|
5450 Clearfork Main St Ste 220, Fort Worth, TX 76109-3562 | |
| (817) 505-0233 | |
| (817) 332-3172 |
| Full Name | Gary Victor Bartholomew |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot Surgery |
| Location | 5450 Clearfork Main St Ste 220, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316077761 | NPI | - | NPPES |
| 084933301 | Other | TX | MEDICAID GROUP NUMBER |
| 0187254-01 | Medicaid | TX | |
| 018725402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | 926 (Texas) | Primary |
| Provider Name | Medical Clinic Of North Texas, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033167234 PECOS PAC ID: 9830084540 Enrollment ID: O20040430001258 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Victor Bartholomew, DPM 5450 Clearfork Main St Ste 410, Fort Worth, TX 76109-3559 Ph: (817) 505-0233 | Gary Victor Bartholomew, DPM 5450 Clearfork Main St Ste 220, Fort Worth, TX 76109-3562 Ph: (817) 505-0233 |
Travis A Motley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 5th Ave Ste 400, Fort Worth, TX 76104 Phone: 817-702-9100 Fax: 817-882-9242 | |
Kenneth Lynn James, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1712 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-877-5781 Fax: 817-877-5782 | |
Dr. Moody Mankerious, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8036 Camp Bowie West Blvd, Fort Worth, TX 76116 Phone: 817-494-0566 Fax: 817-612-3157 | |
Mark S Lisch, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 6816 Shadow Creek Ct, Fort Worth, TX 76132 Phone: 832-368-6841 | |
Kevin D. Rhodes, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 750 North Fwy, Fort Worth, TX 76102 Phone: 817-391-0130 Fax: 817-391-0136 | |
Brian B Carpenter, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2900 | |
Dr. Rona Wai Yin Law, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 923 College Ave Ste 101, Fort Worth, TX 76104 Phone: 817-697-4038 Fax: 877-409-3962 |