Dr Dominic R Dekeratry, MD | |
1900 Scenic Drive, Suite 2208, Georgetown, TX 78626 | |
(512) 819-0132 | |
(512) 819-9335 |
Full Name | Dr Dominic R Dekeratry |
---|---|
Gender | Male |
Speciality | Pulmonary Disease |
Experience | 31 Years |
Location | 1900 Scenic Drive, Georgetown, 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 |
---|---|---|---|
1326007816 | NPI | - | NPPES |
1436107-03 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | L0787 (Texas) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | L0787 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St David's Medical Center | Austin, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Georgetown Pulmonary Associates, P.a. | 2961558275 | 6 |
Entity Name | Georgetown Pulmonary Associates, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639300288 PECOS PAC ID: 2961558275 Enrollment ID: O20090928000494 |
Mailing Address | Practice Location Address |
---|---|
Dr Dominic R Dekeratry, MD Po Box 678698, Dallas, TX 75267-8698 Ph: (512) 637-2002 | Dr Dominic R Dekeratry, MD 1900 Scenic Drive, Suite 2208, Georgetown, TX 78626 Ph: (512) 819-0132 |
Dr. Jennifer Lynn Clark, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78628 Phone: 512-819-0500 | |
Abhijeet V Koli, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434 | |
Anita D'mello, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 | |
Robert F Denyer, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr, Ste 3308, Georgetown, TX 78626 Phone: 512-869-2566 Fax: 512-869-7434 | |
Lori L Palazzo, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 10 Spring St, Suite 102, Georgetown, TX 78626 Phone: 512-863-3343 Fax: 512-869-4978 | |
Mithula Rao Gopalam, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 Fax: 512-819-0520 | |
Supraja R. Gulla, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 317-962-2894 |