Prejith Philip Varghese, | |
1365 Barrow St, Abilene, TX 79605-5171 | |
(888) 988-4066 | |
(847) 496-4850 |
Full Name | Prejith Philip Varghese |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 1365 Barrow St, Abilene, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518519354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 35416 (Texas) | Primary |
Entity Name | Great Salt Plains Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881876738 PECOS PAC ID: 9133201171 Enrollment ID: O20080811000366 |
Mailing Address | Practice Location Address |
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Prejith Philip Varghese, 2050 E Algonquin Rd Ste 610, Schaumburg, IL 60173-4166 Ph: (888) 988-4066 | Prejith Philip Varghese, 1365 Barrow St, Abilene, TX 79605-5171 Ph: (888) 988-4066 |
Dr. Dru Bart Bourland, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4601 Buffalo Gap Rd, Ste D1, Abilene, TX 79606 Phone: 325-695-3300 Fax: 325-695-9899 | |
James H Brooks, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3281 S 27th St, Abilene, TX 79605 Phone: 325-695-1131 Fax: 325-695-7771 | |
Kyung Mook Park, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1034 N Willis St, Abilene, TX 79603 Phone: 325-673-8164 Fax: 325-673-0812 | |
Dr. Marcos Esteban Betancourt, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4741 Buffalo Gap Rd, Abilene, TX 79606 Phone: 325-437-5284 Fax: 325-437-5285 | |
Robert Earl Russell Hawley, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2423 Barrow Street, Abilene, TX 79605 Phone: 325-692-0565 Fax: 325-692-5330 | |
Don Wayne Mc Collum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2025 Pine St, Abilene, TX 79601 Phone: 325-672-2021 Fax: 325-672-9561 | |
Clayton Zachery Runyan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5309 Buffalo Gap Rd, Abilene, TX 79606 Phone: 325-692-3344 Fax: 325-692-3346 |