Dr Smart O Idemudia, MD, PHD | |
200 W. Southwest Pkwy, Lewisville, TX 75067 | |
(972) 420-6777 | |
(972) 420-0656 |
Full Name | Dr Smart O Idemudia |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 33 Years |
Location | 200 W. Southwest Pkwy, Lewisville, 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 |
---|---|---|---|
1154364974 | NPI | - | NPPES |
0078DM | Other | TX | BLUE CROSS / BLUE SHIELD |
F46614 | Other | TX | COMMERCIAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | J91000 (Texas) | Secondary |
207R00000X | Internal Medicine | J91000 (Texas) | Primary |
Entity Name | Grace Medical Association Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487695631 PECOS PAC ID: 6800081738 Enrollment ID: O20101117000455 |
Mailing Address | Practice Location Address |
---|---|
Dr Smart O Idemudia, MD, PHD Po Box 292128, Lewisville, TX 75029-2128 Ph: (972) 420-6777 | Dr Smart O Idemudia, MD, PHD 200 W. Southwest Pkwy, Lewisville, TX 75067 Ph: (972) 420-6777 |
Usha N Peri, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Waters Ridge, Ste A, Lewisville, TX 75057 Phone: 972-219-0558 Fax: 972-436-9273 | |
Shoaib Zafar, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Main St, Lewisville, TX 75057 Phone: 469-370-2000 | |
Antonio Victor Prudente Gonzalez, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 118 Lynn Ave Ste 100, Lewisville, TX 75057 Phone: 214-396-8877 Fax: 214-983-0983 | |
Dr. Dennis James Costa, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2790 Lake Vista Dr, Lewisville, TX 75067 Phone: 972-459-1300 Fax: 972-459-1382 | |
Dr. Syed M Ali, MBBS, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1600 Waters Ridge Dr, Suite A, Lewisville, TX 75057 Phone: 972-219-0558 Fax: 972-436-9273 | |
Bruce Alan Harman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 S. Stemmons Freeway, Suite 108, Lewisville, TX 75067 Phone: 972-434-8000 Fax: 972-434-8001 | |
Megan Toole, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 Hutchinson Ln, Lewisville, TX 75077 Phone: 850-590-1736 |