Dr Paul S Dereska, DO | |
3308 Preston Rd, Ste. 350-283, Plano, TX 75093-7453 | |
(214) 471-5975 | |
Not Available |
Full Name | Dr Paul S Dereska |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3308 Preston Rd, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063502755 | NPI | - | NPPES |
010242193 | Medicaid | VA | |
8DL180 | Other | TX | BLUE CROSS BLUE SHIELD |
305164102 | Medicaid | TX | |
302164101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | N5013 (Texas) | Primary |
Entity Name | Arcadia Anesthesia Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063867463 PECOS PAC ID: 8022309772 Enrollment ID: O20160628000139 |
Entity Name | Vertex Anesthesia, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487106175 PECOS PAC ID: 1052692324 Enrollment ID: O20161228000298 |
Entity Name | Evergreen Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720451248 PECOS PAC ID: 2769766187 Enrollment ID: O20170303000553 |
Mailing Address | Practice Location Address |
---|---|
Dr Paul S Dereska, DO 45 Bass Pond Dr, Frisco, TX 75034-1937 Ph: (469) 600-5681 | Dr Paul S Dereska, DO 3308 Preston Rd, Ste. 350-283, Plano, TX 75093-7453 Ph: (214) 471-5975 |
Dr. Monica Ata, MONICA ATA D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 5944 West Parker Rd, Suite 400, Plano, TX 75093 Phone: 972-980-0500 | |
Dr. Sameer Ali Syed, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3151 W 15th St, Plano, TX 75075 Phone: 214-817-4225 Fax: 972-674-2788 | |
Tejas Vasant Ozarkar, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5425 W. Spring Creek Parkway, Suite 100, Plano, TX 75024 Phone: 972-596-1059 Fax: 972-612-5410 | |
Ola Yinka, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6009 W Parker Rd # 149-261, Plano, TX 75093 Phone: 214-274-9314 | |
Dr. Matt Ted Gubert, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 400 Chisholm Pl Ste 406, Plano, TX 75075 Phone: 972-588-4541 Fax: 469-304-0139 | |
Dr. Brad Richard Davis, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 801 E Plano Pkwy, Suite 100, Plano, TX 75074 Phone: 972-422-5941 Fax: 972-881-4390 |