Dr Cornelia Selma De Riese, MD, PHD, MBA | |
701 W 5th St, Odessa, TX 79763-4206 | |
(432) 335-2222 | |
(432) 335-1009 |
Full Name | Dr Cornelia Selma De Riese |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 46 Years |
Location | 701 W 5th St, Odessa, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841280716 | NPI | - | NPPES |
111572100 | Medicaid | TX | |
111572101 | Other | TX | FIRSTCARE COMMERCIAL |
A117 | Other | NM | TRIWEST |
103816802 | Medicaid | TX | |
103816803 | Medicaid | TX | |
84497 | Medicaid | NM | |
000K5175 | Medicaid | NM | |
83G037 | Other | TX | BC/BS |
84497 | Other | NM | PRESBYTERIAN COMMERCIAL |
100048670A | Medicaid | OK | |
80833Z | Other | TX | HMO BLUE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | L6348 (Texas) | Secondary |
207VF0040X | Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery | L6348 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Terry Memorial Hospital District | 0042281545 | 8 |
Entity Name | Texas Tech University Health Sciences Center Odessa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407845084 PECOS PAC ID: 8426044256 Enrollment ID: O20040607001561 |
Entity Name | Hendrick Provider Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396961322 PECOS PAC ID: 9739162181 Enrollment ID: O20040609001047 |
Entity Name | Terry Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619991171 PECOS PAC ID: 0042281545 Enrollment ID: O20041129000247 |
Entity Name | Michael V Shelton Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356374854 PECOS PAC ID: 7214963958 Enrollment ID: O20050713000840 |
Entity Name | County Of Yoakum |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790702371 PECOS PAC ID: 3173431491 Enrollment ID: O20060307000793 |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Entity Name | Obhg Texas Holdings Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
Mailing Address | Practice Location Address |
---|---|
Dr Cornelia Selma De Riese, MD, PHD, MBA 701 W 5th St # 3212, Odessa, TX 79763-4206 Ph: (432) 703-5000 | Dr Cornelia Selma De Riese, MD, PHD, MBA 701 W 5th St, Odessa, TX 79763-4206 Ph: (432) 335-2222 |
Ghassan N Fanous, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 540 W 5th St, Suite 420, Odessa, TX 79761 Phone: 432-582-2280 Fax: 432-331-9981 | |
Dr. Eliseo Rivera, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8221 San Antonio St, Odessa, TX 79765 Phone: 432-272-4382 Fax: 432-272-4382 | |
Mrs. Kamal Nalin Tolia, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6005 Eastridge Rd, Suite 110, Odessa, TX 79762 Phone: 432-362-3626 Fax: 432-366-3363 | |
Dr. Christopher G Maguire, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-5233 Fax: 432-335-5219 | |
Dr. Christopher Atsaboghena Enakpene, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222 Fax: 432-335-5240 | |
Dr. Jorge D Blanco, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 420 E 6th St Ste 202, Odessa, TX 79761 Phone: 432-582-8757 Fax: 432-582-8928 | |
John Robert Molland, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 601 N Tom Green Ave, Odessa, TX 79761 Phone: 432-334-7888 Fax: 432-334-9949 |