Dr Charles Calvin Hanley, DDS | |
1505 Emerald Plz, College Station, TX 77845-1501 | |
(979) 764-7101 | |
(979) 764-7115 |
Full Name | Dr Charles Calvin Hanley |
---|---|
Gender | Male |
Speciality | Maxillofacial Surgery |
Experience | 15 Years |
Location | 1505 Emerald Plz, College Station, 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 |
---|---|---|---|
1023322187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6229 (Oklahoma) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 29517 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brazos Valley Oms Pllc | 3173943651 | 4 |
Entity Name | Brazos Valley Oral & Maxillofacial Surgery, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194931303 PECOS PAC ID: 9638221658 Enrollment ID: O20090722000058 |
Entity Name | Brazos Valley Oms Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194931303 PECOS PAC ID: 3173943651 Enrollment ID: O20201022000800 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles Calvin Hanley, DDS 1505 Emerald Plz, College Station, TX 77845-1501 Ph: (979) 764-7101 | Dr Charles Calvin Hanley, DDS 1505 Emerald Plz, College Station, TX 77845-1501 Ph: (979) 764-7101 |
Emmanuel Sackey, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1530 Texas Ave S Ste 300, College Station, TX 77840 Phone: 979-599-5554 | |
Dr. Monica D Brown, DDS Dentist Medicare: Medicare Enrolled Practice Location: 122 Walton Dr, College Station, TX 77840 Phone: 979-696-8594 Fax: 979-764-6677 | |
Dr. Jay M Erickson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1275 Arrington Rd Ste 101, College Station, TX 77845 Phone: 979-321-5300 | |
Mustafa Aldabbagh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1530 Texas Ave S Ste 300, College Station, TX 77840 Phone: 346-247-1277 | |
Dr. Nathan Allen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11671 Fm 2154 Rd Ste 400, College Station, TX 77845 Phone: 979-399-5101 | |
Dr. Jason Lee Espinoza, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2101 Texas Ave S, College Station, TX 77840 Phone: 979-693-5130 |