Dr Benjamin John Wallisch, DO | |
1515 Holcombe Blvd Ste 409, Md Anderson Department Of Anesthesiology, Houston, TX 77030-4000 | |
(713) 647-6547 | |
Not Available |
Full Name | Dr Benjamin John Wallisch |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 23 Years |
Location | 1515 Holcombe Blvd Ste 409, Houston, 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 |
---|---|---|---|
1710968516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 02002883A (Indiana) | Secondary |
207L00000X | Anesthesiology | M7738 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Health System | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Medicine Associates | 7719979509 | 397 |
Entity Name | Community Medicine Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245313329 PECOS PAC ID: 7719979509 Enrollment ID: O20040401000372 |
Entity Name | University Of Texas Health Science Center At San Antonio |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
Mailing Address | Practice Location Address |
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Dr Benjamin John Wallisch, DO 1515 Holcombe Blvd Ste 409, Md Anderson Department Of Anesthesiology, Houston, TX 77030-4000 Ph: (713) 647-6547 | Dr Benjamin John Wallisch, DO 1515 Holcombe Blvd Ste 409, Md Anderson Department Of Anesthesiology, Houston, TX 77030-4000 Ph: (713) 647-6547 |
Dr. Nicholas James Defilippis, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2411 Fountain View Dr, Houston, TX 77057 Phone: 713-620-4000 | |
Dr. Archana Vargheese Raghavan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042 Phone: 713-620-4000 Fax: 713-458-4229 | |
Loc Tien Nguyen, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 8614 Majesticbrook Dr, Houston, TX 77095 Phone: 832-746-6608 | |
Dr. Tanner B Baker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2537 S Gessner Rd, Suite 200, Houston, TX 77063 Phone: 713-559-6929 | |
Hyung J Kim, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1635 North Loop W, Houston, TX 77008 Phone: 713-540-6980 | |
Dr. Salim Khan Durrani, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11777 Katy Fwy Ste 260, Houston, TX 77079 Phone: 713-973-7246 Fax: 832-553-1337 | |
January Y Tsai, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |