Ira Kaeo Boswell, DO | |
5706 E Mockingbird Ln Ste 115-33, Dallas, TX 75206-5460 | |
(817) 284-9850 | |
Not Available |
Full Name | Ira Kaeo Boswell |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 9 Years |
Location | 5706 E Mockingbird Ln Ste 115-33, 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 |
---|---|---|---|
1346534757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | Q3645 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Regent Home Health | Fort worth, TX | Home health agency |
Amatus Health Care Llc | Dallas, TX | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ira Boswell Do Pllc | 9830403088 | 3 |
Entity Name | Ira Boswell Do Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245619063 PECOS PAC ID: 9830403088 Enrollment ID: O20150731015049 |
Mailing Address | Practice Location Address |
---|---|
Ira Kaeo Boswell, DO Po Box 678135, Dallas, TX 75267-8135 Ph: (469) 818-0595 | Ira Kaeo Boswell, DO 5706 E Mockingbird Ln Ste 115-33, Dallas, TX 75206-5460 Ph: (817) 284-9850 |
Lisa-ann Wuermser, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8200 Walnut Hill Ln, Dallas, TX 75231 Phone: 763-520-0453 | |
Dr. Matt Y. Bayazitoglu, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 411 N Washington Ave, Suite 4000, Dallas, TX 75246 Phone: 214-820-8557 Fax: 214-480-8356 | |
Tracey Rae Adams, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 2301 S Hampton Rd, Suite 800, Dallas, TX 75224 Phone: 214-534-8913 | |
Desi Elpidio Barroga, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7515 Greenville Ave Ste 700, Dallas, TX 75231 Phone: 214-369-7881 Fax: 214-369-7882 | |
Dr. Deno B Barroga, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 7515 Greenville Ave, Ste 700, Dallas, TX 75231 Phone: 214-369-7881 Fax: 214-369-7882 | |
Dr. Brandt Gros, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3500 Oak Lawn Ave Ste 670, Dallas, TX 75219 Phone: 214-528-3378 Fax: 214-528-3379 | |
Wendy E. Goodwin, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5323 Harry Hines Blvd, Dept. Of Physical Medicine & Rehabilitation, Dallas, TX 75390 Phone: 214-648-2733 |