Dr Staton Awtrey, MD | |
400 Rosalind Redfern Grover Pkwy Ste 200, Midland, TX 79701-5852 | |
(432) 221-2107 | |
(432) 221-5218 |
Full Name | Dr Staton Awtrey |
---|---|
Gender | Male |
Speciality | Cardiac Surgery |
Experience | 36 Years |
Location | 400 Rosalind Redfern Grover Pkwy Ste 200, Midland, 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 |
---|---|---|---|
1376556019 | NPI | - | NPPES |
147713503 | Other | TX | MEDICAID - MIDLAND - PFC |
8663J0 | Other | TX | BCBS AUSTIN ID NUMBER |
8663JO | Other | TX | MEDICARE PIN SAN ANGELO |
TXB138584 | Other | TX | TX MEDICARE-PREMIER |
85010X | Other | TX | BCBS SAN ANGELO ID NUMBER |
TXB138584 | Other | TX | MIDLAND MEDICARE NUMBER |
147713501 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | H6019 (Texas) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | H6019 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midland Memorial Hospital | Midland, TX | Hospital |
Medical Center Hospital | Odessa, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Family Care I, Inc | 2567351372 | 60 |
Entity Name | Premier Family Care I, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275522864 PECOS PAC ID: 2567351372 Enrollment ID: O20040311000343 |
Mailing Address | Practice Location Address |
---|---|
Dr Staton Awtrey, MD 4214 Andrews Hwy Ste 240, Midland, TX 79703-4817 Ph: (432) 686-6600 | Dr Staton Awtrey, MD 400 Rosalind Redfern Grover Pkwy Ste 200, Midland, TX 79701-5852 Ph: (432) 221-2107 |
Nirupama Talwalkar, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 3001 W Illinois Ave, Suite 3b1, Midland, TX 79701 Phone: 432-296-2180 Fax: 432-368-4167 | |
Dr. Kirit N Patel, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 400 Rosalind Redfern Grover Pkwy Ste 200, Midland, TX 79701 Phone: 432-682-2191 Fax: 432-682-1707 |