Dr Benjamin Edery, MD, | |
7737 Southwest Freeway, Ste 750, Houston, TX 77074-1878 | |
(713) 981-1802 | |
Not Available |
Full Name | Dr Benjamin Edery |
---|---|
Gender | Male |
Speciality | Dermatology |
Location | 7737 Southwest Freeway, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326141615 | NPI | - | NPPES |
033043302 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | F0988 (Texas) | Primary |
207NS0135X | Dermatology - Procedural Dermatology | F0988 (Texas) | Secondary |
Entity Name | Oliver Street 5.01(a) Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
Mailing Address | Practice Location Address |
---|---|
Dr Benjamin Edery, MD, 7737 Southwest Freeway, Ste 750, Houston, TX 77074-1878 Ph: (713) 981-1802 | Dr Benjamin Edery, MD, 7737 Southwest Freeway, Ste 750, Houston, TX 77074-1878 Ph: (713) 981-1802 |
Stephanie Jacks, Dermatology Medicare: Medicare Enrolled Practice Location: 6701 Fannin St, Houston, TX 77030 Phone: 832-824-1000 | |
Dr. Ida Francesca Orengo, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1977 Butler Blvd Ste E6.200, Houston, TX 77030 Phone: 713-798-7620 Fax: 713-798-3252 | |
Madeleine Duvic, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 6655 Travis St, 600, Houston, TX 77030 Phone: 713-500-8260 | |
Jimmy D Schmidt, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 819 Peakwood Dr, Houston, TX 77090 Phone: 281-444-1288 Fax: 281-444-9177 | |
Robert Lin, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2222 Greenhouse Rd Ste 1000, Houston, TX 77084 Phone: 832-437-1763 Fax: 855-751-8050 | |
Neda Nosrati, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 7575 San Felipe St Ste 300, Houston, TX 77063 Phone: 713-952-8400 Fax: 713-952-9448 | |
Dr. Erik Thomas Petersen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 915 Gessner Rd Ste 640, Houston, TX 77024 Phone: 713-984-0010 Fax: 713-984-0067 |