Dereje Ayo, MD | |
11803 South Fwy Ste 311, Burleson, TX 76028-7036 | |
(817) 568-8411 | |
(817) 568-8414 |
Full Name | Dereje Ayo |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 31 Years |
Location | 11803 South Fwy Ste 311, Burleson, 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 |
---|---|---|---|
1295705325 | NPI | - | NPPES |
N0617 | Other | TX | TEXAS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | N0617 (Texas) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | N0617 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Medical City Fort Worth | Fort worth, TX | Hospital |
Texas Health Huguley Hospital Fort Worth South | Burleson, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fort Worth Lung Clinic, Pa | 6204007123 | 4 |
Entity Name | Fort Worth Lung Clinic, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558655274 PECOS PAC ID: 6204007123 Enrollment ID: O20110923000606 |
Mailing Address | Practice Location Address |
---|---|
Dereje Ayo, MD Po Box 16284, Fort Worth, TX 76162-0284 Ph: (817) 568-8411 | Dereje Ayo, MD 11803 South Fwy Ste 311, Burleson, TX 76028-7036 Ph: (817) 568-8411 |
Timothy Denver Allen, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11803 South Fwy Ste 203a, Burleson, TX 76028 Phone: 817-759-9759 | |
Dr. Prakash Hegde, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 11803 South Fwy Ste 201, Burleson, TX 76028 Phone: 817-293-4800 Fax: 817-293-4808 | |
Dr. Renjini Rachel Thomas, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Dr. Andrew Jordan Darwin, D.O. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 412-656-8215 | |
Wai Lynn Maung, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-293-9110 | |
Shirisha Peddi, M.D Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11801 South Fwy, Burleson, TX 76028 Phone: 817-568-5955 | |
Dr. Theodore J Lilly, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 434 S.w. Wilshire, Burleson, TX 76028 Phone: 817-447-1208 Fax: 817-447-1106 |