Dr William Todd Bohannon, MD | |
2401 S 31st St, Temple, TX 76508-0001 | |
(254) 724-2111 | |
Not Available |
Full Name | Dr William Todd Bohannon |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 30 Years |
Location | 2401 S 31st St, Temple, 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 |
---|---|---|---|
1023077864 | NPI | - | NPPES |
1454878-05 | Medicaid | TX | |
P00184720 | Other | TX | RR/MEDICARE |
8R3601 | Other | TX | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | J8466 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Entity Name | Scott & White Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Dr William Todd Bohannon, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Dr William Todd Bohannon, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2111 |
Dr. John W Fitzwater, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 Phone: 813-554-8384 | |
Grace Ng, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. John C. Hendricks, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Robert Scott Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 Fax: 254-724-7603 | |
Dr. Jacqueline Ann Lappin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Doris Sophia Li, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |