Dr Darrell Stafford Wheeler, MD | |
100 Hillcrest Baptist Medical Blvd., Waco, TX 76712 | |
(254) 202-2911 | |
(254) 202-2919 |
Full Name | Dr Darrell Stafford Wheeler |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 100 Hillcrest Baptist Medical Blvd., Waco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124241435 | NPI | - | NPPES |
110419201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | H0927 (Texas) | Primary |
Entity Name | Hillcrest Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649294323 PECOS PAC ID: 1153304456 Enrollment ID: O20040609000104 |
Mailing Address | Practice Location Address |
---|---|
Dr Darrell Stafford Wheeler, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Dr Darrell Stafford Wheeler, MD 100 Hillcrest Baptist Medical Blvd., Waco, TX 76712 Ph: (254) 202-2911 |
Dr. Mark A Lorenzen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301b Richland West Cir, Waco, TX 76712 Phone: 254-772-2722 Fax: 254-772-4075 | |
Dr. Priyadarshini Srinivasan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 200, Waco, TX 76712 Phone: 254-297-0400 Fax: 254-297-0404 | |
Brian Edward Barkley, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712 Phone: 254-202-6100 Fax: 254-202-6195 | |
Katherine Elizabeth Thaller, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd Ste 100, Waco, TX 76712 Phone: 254-202-6100 Fax: 254-202-6195 | |
Oluwarotimi Oluwakemi Adesina, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7125 New Sanger Ave Ste 516, Waco, TX 76712 Phone: 254-752-9638 | |
Dr. Cessley Marsellus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Hillcrest Medical Blvd, Waco, TX 76712 Phone: 254-297-0400 |