Dr Jorge Roman, MD | |
1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936 | |
(817) 684-5100 | |
Not Available |
Full Name | Dr Jorge Roman |
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Gender | Male |
Speciality | Dermatology |
Experience | 7 Years |
Location | 1615 Hospital Pkwy Ste 306, Bedford, 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 |
---|---|---|---|
1851824825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | T4259 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Epiphany Dermatology Pa | 3971827791 | 68 |
Epiphany Dermatology Of New Mexico, Llc | 4082919691 | 25 |
Entity Name | Epiphany Dermatology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498 |
Mailing Address | Practice Location Address |
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Dr Jorge Roman, MD 1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936 Ph: () - | Dr Jorge Roman, MD 1615 Hospital Pkwy Ste 306, Bedford, TX 76022-5936 Ph: (817) 684-5100 |
Shaun Daniel Cooper, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1600 Central Dr Ste 158, Bedford, TX 76022 Phone: 817-736-2912 Fax: 817-736-2912 | |
George C Baker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1615 Hospital Parkway, Suite 306, Bedford, TX 76022 Phone: 817-684-5106 Fax: 817-684-5120 | |
Calvin Lamont Williams, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1600 Central Drive, Ste 158, Bedford, TX 76022 Phone: 817-736-2912 Fax: 817-736-2912 | |
John David Miller, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1615 Hospital Parkway, Suite 306, Bedford, TX 76022 Phone: 817-684-5106 Fax: 817-684-5120 | |
Dr. Christopher Kenton Fuller, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1615 Hospital Pkwy Ste 306, Bedford, TX 76022 Phone: 817-684-5100 Fax: 817-684-5101 |