Dr Maryse Emmerencia Bakouetila, MD | |
2021 N Macarthur Blvd Ste 350, Irving, TX 75061-2217 | |
(972) 817-1600 | |
Not Available |
Full Name | Dr Maryse Emmerencia Bakouetila |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 7 Years |
Location | 2021 N Macarthur Blvd Ste 350, Irving, 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 |
---|---|---|---|
1871084632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | T3586 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Medical Center At Irving | Irving, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthtexas Provider Network | 1355254210 | 1844 |
Entity Name | Healthtexas Provider Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760488936 PECOS PAC ID: 1355254210 Enrollment ID: O20040727001187 |
Mailing Address | Practice Location Address |
---|---|
Dr Maryse Emmerencia Bakouetila, MD 10902 Shettleston Dr, Richmond, TX 77407-2809 Ph: (936) 649-2520 | Dr Maryse Emmerencia Bakouetila, MD 2021 N Macarthur Blvd Ste 350, Irving, TX 75061-2217 Ph: (972) 817-1600 |
Dr. Sat P Gupta, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7447 N Macarthur Blvd, Suite 190, Irving, TX 75063 Phone: 972-861-5200 Fax: 972-861-5205 | |
Dr. Asif Iqbal Khan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 S Irving Heights Dr, Irving, TX 75060 Phone: 972-579-7979 | |
Thomas E Diaz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4625 Redwood Ct, Irving, TX 75038 Phone: 214-245-4660 | |
Darryl B Tisherman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2021 N Macarthur Blvd, Suite 150, Irving, TX 75061 Phone: 972-253-4354 Fax: 972-253-4218 | |
Dr. Bekele Chamiso Olbamo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4545 Fuller Dr, Suite 325, Irving, TX 75038 Phone: 972-870-5511 Fax: 972-870-5512 | |
Dr. Maria Nicola Biard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 N State Highway 161, Irving, TX 75038 Phone: 972-258-7499 Fax: 972-257-0897 | |
Mary C Ward, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6161 N State Highway 161, Irving, TX 75038 Phone: 972-258-7499 Fax: 972-257-0897 |