Evan Lacefield, | |
2700 E 29th St Ste 100, Bryan, TX 77802-2507 | |
(979) 774-3041 | |
(979) 774-3053 |
Full Name | Evan Lacefield |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 13 Years |
Location | 2700 E 29th St Ste 100, Bryan, 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 |
---|---|---|---|
1881986982 | NPI | - | NPPES |
1881986982 | Other | TX | UROLOGY |
358172001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | Q7572 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hermann - Texas Medical Center | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hermann Medical Group | 7012008360 | 601 |
Entity Name | St Joseph Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669557179 PECOS PAC ID: 5294727921 Enrollment ID: O20040401000670 |
Entity Name | Regional Employee Assistance Program Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649232984 PECOS PAC ID: 1557260064 Enrollment ID: O20040612000731 |
Entity Name | Memorial Hermann Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003985102 PECOS PAC ID: 7012008360 Enrollment ID: O20070801000368 |
Mailing Address | Practice Location Address |
---|---|
Evan Lacefield, 2700 E 29th St Ste 100, Bryan, TX 77802-2507 Ph: (979) 774-3041 | Evan Lacefield, 2700 E 29th St Ste 100, Bryan, TX 77802-2507 Ph: (979) 774-3041 |
Dr. Charles Kevin Peirce, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3201 University Dr E, Ste 370, Bryan, TX 77802 Phone: 979-731-8660 | |
Dr. Robin Rashmi Bhavsar, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2700 E 29th St Ste 100, Bryan, TX 77802 Phone: 979-774-3041 Fax: 979-774-3053 | |
Mr. Alan Keith Young, M. D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1404 Bristol St, Bryan, TX 77802 Phone: 979-779-6615 Fax: 979-823-2785 | |
Dr. Samuel Hills Harrison, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3201 University Dr E, Suite 370, Bryan, TX 77802 Phone: 979-731-8660 | |
Dr. Kathy Ravanbakhsh, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2700 E 29th St Ste 100, Bryan, TX 77802 Phone: 979-774-3041 Fax: 979-774-3053 | |
Dr. Ralph Raymond Young Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1404 Bristol St, Bryan, TX 77802 Phone: 979-779-6615 Fax: 979-823-2785 |