Dr Kennard Lee Kollaus, MD | |
2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 | |
(830) 773-5358 | |
(830) 773-0258 |
Full Name | Dr Kennard Lee Kollaus |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 40 Years |
Location | 2525 N Veterans Blvd, Eagle Pass, 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 |
---|---|---|---|
1528147063 | NPI | - | NPPES |
1277162-10 | Other | TX | MEDICAID-TX PROVIDER IDENTIFIER (TPI) # (TYPE: PERFORMING PROVIDER) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G8222 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fort Duncan Medical Center | Eagle pass, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Medical Centers | 7618957135 | 20 |
Entity Name | United Medical Centers |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710980669 PECOS PAC ID: 7618957135 Enrollment ID: O20040817000497 |
Mailing Address | Practice Location Address |
---|---|
Dr Kennard Lee Kollaus, MD Po Box 1470, Eagle Pass, TX 78853-1470 Ph: (830) 773-8917 | Dr Kennard Lee Kollaus, MD 2525 N Veterans Blvd, Eagle Pass, TX 78852-3302 Ph: (830) 773-5358 |
Cruz Alberto Bernal Jr., M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 590 E Main St Ste B, Eagle Pass, TX 78852 Phone: 830-773-3331 | |
Dr. Juan Saucedo, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Crown Ridge Blvd, Ste C, Eagle Pass, TX 78852 Phone: 830-335-2552 Fax: 830-335-2580 | |
Frank H Gonzales Iii, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 290 Jefferson St, Eagle Pass, TX 78852 Phone: 830-773-3331 Fax: 830-773-2981 | |
Roberto A Duran, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 N Veterans Blvd, Eagle Pass, TX 78852 Phone: 830-773-5358 | |
Dr. Hector Raul Trevino, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2176 E Garrison St, Ste. C, Eagle Pass, TX 78852 Phone: 830-773-3353 Fax: 830-773-3393 | |
David Westly Chisum, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1975 N Veterans Blvd Ste 9, Eagle Pass, TX 78852 Phone: 830-213-8186 Fax: 830-213-8157 | |
Sergio Zamora, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2450 El Indio Hwy, Eagle Pass, TX 78852 Phone: 830-757-3900 Fax: 830-757-3838 |