Dr Teresa Boyle, MD | |
2600 E. Mlk Jr. Blvd., Austin, TX 78702 | |
(512) 334-2600 | |
(512) 623-5290 |
Full Name | Dr Teresa Boyle |
---|---|
Gender | Female |
Speciality | Radiology - Radiation Oncology |
Location | 2600 E. Mlk Jr. Blvd., Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164482287 | NPI | - | NPPES |
1184608-05 | Other | TX | CSHCN |
8B7335 | Other | TX | BLUE SHIELD |
1184608-04 | Medicaid | TX | |
920006607 | Other | TX | RR/MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | K8023 (Texas) | Primary |
2085R0001X | Radiology - Radiation Oncology | 51483 (Massachusetts) | Secondary |
Entity Name | Cd Practice Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295787919 PECOS PAC ID: 2567359839 Enrollment ID: O20040302000290 |
Mailing Address | Practice Location Address |
---|---|
Dr Teresa Boyle, MD 9715 Burnet Rd, Ste 200 Bldg 7, Austin, TX 78758-5215 Ph: (512) 334-2654 | Dr Teresa Boyle, MD 2600 E. Mlk Jr. Blvd., Austin, TX 78702 Ph: (512) 334-2600 |
Jason R. Wallace, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gregory Connor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Catherine Suchia Wu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 James Casey Blvd, #100, Austin, TX 78745 Phone: 512-447-2202 Fax: 512-447-5337 | |
Dr. Michael Troy Harper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Ian L. Love, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8038 Mesa Dr, Austin, TX 78731 Phone: 512-901-8748 Fax: 512-901-8755 | |
Dr. Bradley Brenner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gordon A. Witwer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 |