Dr Martin Leroy Koonsman Jr, MD | |
221 W Colorado Blvd, Pav Ii, Suite 532, Dallas, TX 75208 | |
(214) 943-8605 | |
(214) 946-8339 |
Full Name | Dr Martin Leroy Koonsman Jr |
---|---|
Gender | Male |
Speciality | Surgical Oncology |
Experience | 36 Years |
Location | 221 W Colorado Blvd, Dallas, 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 |
---|---|---|---|
1992746580 | NPI | - | NPPES |
P01100125 | Other | TX | RAILROAD MEDICARE |
097588001 | Medicaid | TX | |
020027451 | Other | TX | RR-MEDICARE |
097588003 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | H6352 (Texas) | Secondary |
2086X0206X | Surgery - Surgical Oncology | H6352 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Dallas Medical Center | Dallas, TX | Hospital |
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 |
Entity Name | Physician Associates Of Southwest Dallas |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801845425 PECOS PAC ID: 3274519293 Enrollment ID: O20040629000498 |
Mailing Address | Practice Location Address |
---|---|
Dr Martin Leroy Koonsman Jr, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Dr Martin Leroy Koonsman Jr, MD 221 W Colorado Blvd, Pav Ii, Suite 532, Dallas, TX 75208 Ph: (214) 943-8605 |
Cassidy Ann Gafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Brett D Arnoldo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3067 | |
Dr. Gail S Lebovic, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12200 Preston Rd, Dallas, TX 75230 Phone: 972-560-2667 | |
Dr. Russell C Lam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Dr. Brian Ezekian, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7777 Forest Ln Ste C240, Dallas, TX 75230 Phone: 972-566-7000 | |
Nirmal Samuel Jayaseelan, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 7777 Forest Ln, Ste C670, Dallas, TX 75230 Phone: 972-566-2263 Fax: 972-566-2952 | |
Dr. Mirza Shadman Baig, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Inwood Rd, 5th Fl, West Campus Bldg 3, Dallas, TX 75390 Phone: 214-645-0538 Fax: 214-645-0536 |