Dr Werner T De Riese, MD | |
3601 4th St Stop 7260, Lubbock, TX 79430-3300 | |
(806) 743-1810 | |
(806) 743-1335 |
Full Name | Dr Werner T De Riese |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 45 Years |
Location | 3601 4th St Stop 7260, Lubbock, 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 |
---|---|---|---|
1861478240 | NPI | - | NPPES |
111573100 | Other | TX | FIRSTCARE COMMERCIAL |
111573102 | Medicaid | TX | |
S8149 | Medicaid | NM | |
104999102 | Medicaid | TX | |
87183G | Other | TX | BC/BS |
A022 | Other | NM | TRIWEST |
104999101 | Medicaid | TX | |
201021500 | Other | NM | PRESBYTERIAN COMMERCIAL |
201021500 | Medicaid | NM | |
82844Z | Other | TX | HMO BLUE |
100048660B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | L4905 (Texas) | Secondary |
208800000X | Urology | L4905 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Tech University Health Sciences Center Lubbock | 4385549674 | 318 |
Entity Name | Hendrick Provider Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396961322 PECOS PAC ID: 9739162181 Enrollment ID: O20040609001047 |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Mailing Address | Practice Location Address |
---|---|
Dr Werner T De Riese, MD Po Box 5865, Lubbock, TX 79408-5865 Ph: (806) 743-2898 | Dr Werner T De Riese, MD 3601 4th St Stop 7260, Lubbock, TX 79430-3300 Ph: (806) 743-1810 |
Dr. James Frederick Kirk, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3612 23rd St, Lubbock, TX 79410 Phone: 806-793-8787 Fax: 806-793-0150 | |
Dr. Thomas Nelius, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St, Suite 260, Lubbock, TX 79415 Phone: 806-743-1810 Fax: 806-743-1335 | |
Chris H Brown, PA-C Urology Medicare: Accepting Medicare Assignments Practice Location: 6102 82nd St, Suite 5, Lubbock, TX 79424 Phone: 806-771-0077 Fax: 806-771-3175 | |
Carl Lee Britton Jr., M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 418 N Utica Ave, Lubbock, TX 79416 Phone: 806-771-5882 Fax: 806-687-9002 | |
Obie Lee Stalcup, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 | |
Miss Jonathan S. Vordermark, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3502 9th St, Suite 260, Lubbock, TX 79415 Phone: 806-743-1810 Fax: 806-743-1335 | |
Dr. Michael R Crone, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Stop 7260, Lubbock, TX 79430 Phone: 806-743-1810 Fax: 806-743-1335 |