Bradley A Boone, MD | |
3201 S Austin Ave, Georgetown, TX 78626-7545 | |
(512) 459-8753 | |
(512) 483-6807 |
Full Name | Bradley A Boone |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 28 Years |
Location | 3201 S Austin Ave, Georgetown, 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 |
---|---|---|---|
1730151457 | NPI | - | NPPES |
201292450A | Medicaid | OK | |
333764R401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 44117 (Oklahoma) | Secondary |
2086S0129X | Surgery - Vascular Surgery | P8338 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Round Rock Medical Center | Round rock, TX | Hospital |
Seton Medical Center Williamson | Round rock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cardiothoracic And Vascular Surgeons,pa | 3870577729 | 35 |
Entity Name | Cardiothoracic And Vascular Surgeons,pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326061714 PECOS PAC ID: 3870577729 Enrollment ID: O20040617000177 |
Mailing Address | Practice Location Address |
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Bradley A Boone, MD 2111 14th St, Meridian, MS 39301-4041 Ph: (601) 693-3834 | Bradley A Boone, MD 3201 S Austin Ave, Georgetown, TX 78626-7545 Ph: (512) 459-8753 |
Dr. Monica Ann Rocco, MD Surgery Medicare: Medicare Enrolled Practice Location: 2000 Scenic Dr # G002, Georgetown, TX 78626 Phone: 512-505-5500 Fax: 512-334-2628 | |
Scott Anthony Russell, MD Surgery Medicare: Medicare Enrolled Practice Location: 3201 S Austin Ave, Ste 330, Georgetown, TX 78626 Phone: 512-864-3183 Fax: 512-930-3409 | |
Joseph P Jeanette Ii, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 3721 Williams Dr, Georgetown, TX 78628 Phone: 512-869-7310 Fax: 512-688-5584 | |
David Ward Martin, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1900 Scenic Dr, Ste 2208, Georgetown, TX 78626 Phone: 512-864-3183 Fax: 512-930-3409 |