Dr Lyle Sheldon Thorstenson, M D | |
4500 S Lancaster Rd Ste 112c, Dallas, TX 75216-7167 | |
(214) 857-1441 | |
Not Available |
Full Name | Dr Lyle Sheldon Thorstenson |
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Gender | Male |
Speciality | Ophthalmology |
Location | 4500 S Lancaster Rd Ste 112c, 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 |
---|---|---|---|
1851399364 | NPI | - | NPPES |
8F2997 | Other | TX | MEDICARE |
HH69 | Other | TX | BLUE CROSS BLUE SHIELD |
033864201 | Medicaid | TX | |
033864202 | Medicaid | TX | |
P000HH693 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | F2064 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
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Dr Lyle Sheldon Thorstenson, M D Po Box 845347, Dallas, TX 75284-5347 Ph: () - | Dr Lyle Sheldon Thorstenson, M D 4500 S Lancaster Rd Ste 112c, Dallas, TX 75216-7167 Ph: (214) 857-1441 |
Dr. Joanna Saade, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2020 | |
Dr. Julie Linden Soto, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1703 N Beckley Ave, Dallas, TX 75203 Phone: 214-987-2875 Fax: 214-946-9877 | |
Miss Vanessa Ortiz-medina, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2020 | |
Dr. Deborah I Friedman, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 12740 Hillcrest Rd Ste 269, Dallas, TX 75230 Phone: 972-773-9003 Fax: 972-773-9005 | |
Faisal E Haq, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2801 Lemmon Ave Ste 400, Dallas, TX 75204 Phone: 214-754-0000 Fax: 214-379-1849 | |
Gary Pesicka, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2020 | |
Phillip Alan Tenzel, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75284 Phone: 214-645-2020 |