Dr Kathleen Louise Shide, MD | |
500 S Henderson St Ste 200, Fort Worth, TX 76104-2154 | |
(174) 131-5008 | |
(817) 413-1499 |
Full Name | Dr Kathleen Louise Shide |
---|---|
Gender | Female |
Speciality | Radiation Oncology |
Experience | 28 Years |
Location | 500 S Henderson St Ste 200, Fort Worth, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073550455 | NPI | - | NPPES |
8S3355 | Other | TX | BLUE CROSS OF TEXAS |
166057303 | Medicaid | TX | |
166057302 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | K3007 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Oncology Pa | 5395658934 | 886 |
Entity Name | Texas Oncology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen Louise Shide, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Dr Kathleen Louise Shide, MD 500 S Henderson St Ste 200, Fort Worth, TX 76104-2154 Ph: (174) 131-5008 |
Kelly C Starkey, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 Fax: 469-522-6889 | |
Dr. Mark Sohner, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 173-210-4048 | |
Dr. John A Queralt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033 | |
Dr. Robert Joseph Reeb Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0312 Fax: 817-317-7033 | |
Eugenia Payne, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 | |
Dr. Jeffrey Scott Wenzel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0387 | |
Dr. Robert Lewis Emery, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-321-0404 |