Dr Gregory Cusano, MD | |
1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 | |
(713) 432-1100 | |
(713) 432-0221 |
Full Name | Dr Gregory Cusano |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 29 Years |
Location | 1401 Pennsylvania 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 |
---|---|---|---|
1508863838 | NPI | - | NPPES |
155683901 | Medicaid | TX | |
220033317 | Other | TX | RR MEDICARE |
8G2491 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZH0000X | Pathology - Hematology | L4319 (Texas) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | L4319 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ameripath Lubbock 501a Corporation | 5890690085 | 18 |
Entity Name | Ameripath Lubbock 501a Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134190705 PECOS PAC ID: 5890690085 Enrollment ID: O20031201000711 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory Cusano, MD 14275 Midway Rd, Suite 400, Addison, TX 75001-3614 Ph: () - | Dr Gregory Cusano, MD 1401 Pennsylvania Ave, Fort Worth, TX 76104-2113 Ph: (713) 432-1100 |
Dongkun J Chang, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 214-638-2000 Fax: 214-237-1864 | |
Vanessa Nelson, Pathology Medicare: Not Enrolled in Medicare Practice Location: 1401 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 757-331-0703 | |
Tera Jones, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 200 Feliks Gwozdz Pl, Fort Worth, TX 76104 Phone: 817-920-5700 | |
Ajit J Alles, M.B.B.S., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-4289 Fax: 682-885-6111 | |
Mr. Bryan Leonard Bartlett, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Avenue, Fort Worth, TX 76104 Phone: 817-922-1599 Fax: 817-927-6296 | |
Michael Lewis Cimo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Avenue, Department Of Pathology, Fort Worth, TX 76104 Phone: 817-922-1559 Fax: 817-927-6296 | |
Jodi Stokol Music, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 214-638-2000 |