Dr Larry Wade Lynn, MD | |
4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 | |
(855) 984-5121 | |
Not Available |
Full Name | Dr Larry Wade Lynn |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 4055 Valley View Ln Ste 700, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396879292 | NPI | - | NPPES |
100356530 | Medicaid | IN | |
P01456893 | Other | IN | MEDICARE RAILROAD PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 01037887A (Indiana) | Secondary |
208000000X | Pediatrics | 01037887 (Indiana) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Wade Lynn, MD 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 Ph: (855) 984-5121 | Dr Larry Wade Lynn, MD 4055 Valley View Ln Ste 700, Dallas, TX 75244-5045 Ph: (855) 984-5121 |
Dr. Jyothsna Gattineni, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3438 | |
Ruth Osei Fordjour, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-957-4754 | |
Dr. Alecia Curlene Nero, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-4180 | |
Dr. Sravani Avula, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-730-5437 | |
Asif Zia Khattak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-7604 | |
Sadia Malik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-2533 Fax: 214-456-8130 | |
Sana Jamil Siddiqui, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-456-0488 Fax: 214-456-4486 |