Dr Sandra Kay Parker, MD | |
1101 S Main St, Room 2419, Fort Worth, TX 76104-4802 | |
(817) 321-5305 | |
(817) 321-5331 |
Full Name | Dr Sandra Kay Parker |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 1101 S Main St, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568447431 | NPI | - | NPPES |
196335702 | Medicaid | TX | |
0228173-05 | Other | TX | MEDICAID GROUP TPI |
0650970-01 | Other | TX | MEDICAID GROUP TPI |
0228173-07 | Other | TX | MEDICAID GROUP TPI |
0228082-01 | Other | TX | MEDICAID GROUP TPI |
0615978-01 | Other | TX | MEDICAID GROUP TPI |
0831497-03 | Other | MEDICAID GROUP TPI | |
00J32T | Other | TX | MEDICARE GROUP |
00J33T | Other | TX | MEDICARE GROUP |
0174666-03 | Other | TX | MEDICAID GROUP TPI |
PH0004 | Other | TX | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L4626 (Texas) | Primary |
207Q00000X | Family Medicine | L14280R (Louisiana) | Secondary |
Entity Name | Acclaim Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
---|---|
Dr Sandra Kay Parker, MD 1155 Fox Hunt Trl, Willow Park, TX 76087-3113 Ph: (361) 816-5285 | Dr Sandra Kay Parker, MD 1101 S Main St, Room 2419, Fort Worth, TX 76104-4802 Ph: (817) 321-5305 |
Jonathan A Lazarini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265 | |
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987 | |
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005 | |
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034 | |
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 | |
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278 | |
Jonathan Patrick Angel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Beach St Ste 104, Fort Worth, TX 76111 Phone: 817-831-1750 Fax: 817-831-1750 |