Dr Gonzalo Lievano, MD | |
1307 8th Ave, Ste 306, Fort Worth, TX 76104 | |
(817) 912-8040 | |
(817) 912-8049 |
Full Name | Dr Gonzalo Lievano |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 36 Years |
Location | 1307 8th Ave, Fort Worth, 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 |
---|---|---|---|
1558302976 | NPI | - | NPPES |
155486702 | Medicaid | TX | |
8S3521 | Other | TX | BCBS |
155486703 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | L5024 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White All Saints Medical Center Fort Worth | Fort worth, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthtexas Provider Network | 1355254210 | 1844 |
Entity Name | Healthtexas Provider Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
---|---|
Dr Gonzalo Lievano, MD 1307 8th Ave, Ste 306, Fort Worth, TX 76104 Ph: (817) 912-8040 | Dr Gonzalo Lievano, MD 1307 8th Ave, Ste 306, Fort Worth, TX 76104 Ph: (817) 912-8040 |
Dr. Michael Capwell Walter, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5450 Clearfork Main St Ste 420, Fort Worth, TX 76109 Phone: 817-784-8268 Fax: 817-346-6173 | |
Dr. Rajendra Singh Chouhan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1115 Pennsylvania Ave, Suite A, Fort Worth, TX 76104 Phone: 817-335-7803 Fax: 817-335-6451 | |
Scott A Thurman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5801 Oakbend Trl Ste 180, Fort Worth, TX 76132 Phone: 866-367-8768 Fax: 817-541-9501 | |
Dr. Wayne D Hey, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 4809 Brentwood Stair Rd, Fort Worth, TX 76103 Phone: 817-731-0316 Fax: 817-377-2081 | |
Dr. David Lawrence Gould, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 900 Jerome St Ste 304, Fort Worth, TX 76104 Phone: 817-348-8399 Fax: 817-348-8380 | |
Julia M. Willingham, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5450 Clearfork Main St Ste 410, Fort Worth, TX 76109 Phone: 817-784-8268 Fax: 817-336-8034 | |
Charles Bamberger, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 416 South Henderson, Fort Worth, TX 76104 Phone: 817-338-4636 Fax: 817-335-5421 |