Bryan C Thibodeau, MD | |
12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 | |
(214) 217-1912 | |
Not Available |
Full Name | Bryan C Thibodeau |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 12221 Merit Dr, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083746507 | NPI | - | NPPES |
203457101 | Medicaid | TX | |
8CA552 | Other | TX | BCBS |
P00814340 | Other | TX | RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | N2840 (Texas) | Primary |
Entity Name | Questcare Medical Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164574489 PECOS PAC ID: 6204739402 Enrollment ID: O20040127000697 |
Entity Name | Emcare Rsn Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427008523 PECOS PAC ID: 8527245166 Enrollment ID: O20110607000535 |
Mailing Address | Practice Location Address |
---|---|
Bryan C Thibodeau, MD 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 Ph: (214) 217-1912 | Bryan C Thibodeau, MD 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 Ph: (214) 217-1912 |
Bradford Stager Commons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235 Phone: 214-590-8058 | |
Dr. Sandeep Guttikonda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-648-3916 Fax: 214-648-8423 | |
Jeffrey Szot, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-2667 | |
Matthew Tice, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-217-1911 | |
Dr. Renjie Michael Li, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13737 Noel Rd, Dallas, TX 75240 Phone: 214-217-1912 | |
Dr. Christian Brewer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-7000 | |
James Pierre D'etienne, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-2505 Fax: 214-712-2487 |