| Paul Thomas Marciano, DPM | |
|
1940 E State Highway 114, Suite 150, Southlake, TX 76092-6526 | |
| (817) 424-3668 | |
| (817) 442-8637 |
| Full Name | Paul Thomas Marciano |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 30 Years |
| Location | 1940 E State Highway 114, Southlake, 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 |
|---|---|---|---|
| 1558321810 | NPI | - | NPPES |
| 1932493574 | Other | GROUP NPI | |
| 8J0650 | Other | TX | BCBS INDV. ID |
| 2441376 | Other | TX | AETNA |
| 0031NJ | Other | TX | BCBS GROUP |
| 1356541346 | Other | TX | GROUP NPI |
| 1376738971 | Other | GROUP NPI | |
| 1346477304 | Other | GROUP NPI | |
| 603978000 | Other | TX | WORK COMP ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 1364 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Harris Methodist Hospital Southlake | Southlake, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hm Podiatry P A | 2860425287 | 3 |
| Provider Name | Hm Podiatry P A |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376738971 PECOS PAC ID: 2860425287 Enrollment ID: O20050915001129 |
| Provider Name | Academy Foot & Ankle Specialists, P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356541346 PECOS PAC ID: 8123032471 Enrollment ID: O20060126000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Thomas Marciano, DPM 1940 E Hwy 114, Suite 150, Southlake, TX 76092-6510 Ph: (817) 424-3668 | Paul Thomas Marciano, DPM 1940 E State Highway 114, Suite 150, Southlake, TX 76092-6526 Ph: (817) 424-3668 |
Mr. Fahad Aslam, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Academy Foot & Ankle Specialists, P.a. Podiatrist Medicare: Medicare Enrolled Practice Location: 1940 Highway 114, Ste 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Mr. Daniel Thomas Pierini, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Mr. Daniel Joshua Cairns, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: Academy Foot & Ankle Specialists, 1940 E State Hwy 114 Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Mr. Jeremy William Brouillette, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Academy Foot & Ankle Specialists, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Mr. Scott Benjamin Floyd, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: Academy Foot & Ankle Specialist, 1940 E. State Hwy 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 |