James Ebot, DO | |
17218 Preston Rd Ste 2000, Dallas, TX 75252-4018 | |
(877) 866-7123 | |
Not Available |
Full Name | James Ebot |
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Gender | Male |
Speciality | Neurological Surgery |
Location | 17218 Preston Rd Ste 2000, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083141899 | NPI | - | NPPES |
435784001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | UO5370 (Florida) | Secondary |
207T00000X | Neurological Surgery | T2156 (Texas) | Primary |
Entity Name | Florida Post Acute Care Clinicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811398811 PECOS PAC ID: 3971820598 Enrollment ID: O20150319001562 |
Mailing Address | Practice Location Address |
---|---|
James Ebot, DO Po Box 742712, Atlanta, GA 30374-2712 Ph: (877) 866-7123 | James Ebot, DO 17218 Preston Rd Ste 2000, Dallas, TX 75252-4018 Ph: (877) 866-7123 |
Matthew Sun, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-648-9946 | |
Dr. Martin Lewis Lazar, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, Suite B420, Dallas, TX 75230 Phone: 972-566-6444 Fax: 972-566-6627 | |
Dr. Blake Arden Yarascavitch, M.D. Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 1935 Medical District Dr, Suite B-3200, Dallas, TX 75235 Phone: 214-456-6660 | |
Kalil G Abdullah, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5303 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2300 Fax: 214-648-2204 | |
Dr. Charles Benjamin Newman, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 1411 N Beckley Ave, Pav Iii Ste#152, Dallas, TX 75203 Phone: 214-948-2076 Fax: 214-948-9990 | |
Bruce Edward Mickey, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Blvd, Dallas, TX 75390 Phone: 214-645-2300 Fax: 214-645-2301 |