Glen C Balch, MD | |
5323 Harry Hines Blvd, University Of Texas Southwestern University, Dallas, TX 75390-8548 | |
(214) 648-5870 | |
(214) 648-1118 |
Full Name | Glen C Balch |
---|---|
Gender | Male |
Speciality | Surgical Oncology |
Experience | 26 Years |
Location | 5323 Harry Hines Blvd, Dallas, 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 |
---|---|---|---|
1114123163 | NPI | - | NPPES |
036-118605 | Other | IL | IL STATE LIC |
N4276 | Other | TX | TX STATE MEDICAL LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | N4276 (Texas) | Primary |
208600000X | Surgery | 036-118605 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Emory University Hospital Midtown | Atlanta, GA | Hospital |
Saint Joseph's Hospital Of Atlanta, Inc | Atlanta, GA | Hospital |
Emory University Hospital | Atlanta, GA | Hospital |
Emory Johns Creek Hospital | Johns creek, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Emory Clinic, Inc | 8820901408 | 2729 |
Entity Name | The Emory Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
Mailing Address | Practice Location Address |
---|---|
Glen C Balch, MD Po Box 845347, Dallas, TX 75284-5347 Ph: (214) 648-5870 | Glen C Balch, MD 5323 Harry Hines Blvd, University Of Texas Southwestern University, Dallas, TX 75390-8548 Ph: (214) 648-5870 |
Cassidy Ann Gafford, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Brett D Arnoldo, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-3067 | |
Dr. Gail S Lebovic, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 12200 Preston Rd, Dallas, TX 75230 Phone: 972-560-2667 | |
Dr. Russell C Lam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8210 Walnut Hill Ln Ste 505, Dallas, TX 75231 Phone: 214-345-4160 Fax: 214-345-4165 | |
Dr. Brian Ezekian, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 7777 Forest Ln Ste C240, Dallas, TX 75230 Phone: 972-566-7000 | |
Nirmal Samuel Jayaseelan, M.D. Surgery Medicare: May Accept Medicare Assignments Practice Location: 7777 Forest Ln, Ste C670, Dallas, TX 75230 Phone: 972-566-2263 Fax: 972-566-2952 | |
Dr. Mirza Shadman Baig, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2001 Inwood Rd, 5th Fl, West Campus Bldg 3, Dallas, TX 75390 Phone: 214-645-0538 Fax: 214-645-0536 |