Jesse E Smith, MD | |
923 Pennsylvania Avenue, Suite 100, Fort Worth, TX 76104-2254 | |
(817) 920-0484 | |
(817) 920-0068 |
Full Name | Jesse E Smith |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 26 Years |
Location | 923 Pennsylvania Avenue, Fort Worth, 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 |
---|---|---|---|
1194742791 | NPI | - | NPPES |
P00413563 | Other | RAILROAD MEDICARE | |
176348402 | Other | TX | MEDICAID CSHCN |
176348401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | L1204 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott And White Surgical Hospital Fortworth | Fort worth, TX | Hospital |
Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Health Care Pllc | 7214840867 | 326 |
Entity Name | Texas Health Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477628873 PECOS PAC ID: 7214840867 Enrollment ID: O20031110000388 |
Entity Name | Acclaim Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
Mailing Address | Practice Location Address |
---|---|
Jesse E Smith, MD Po Box 961205, Fort Worth, TX 76161-1205 Ph: (817) 740-8400 | Jesse E Smith, MD 923 Pennsylvania Avenue, Suite 100, Fort Worth, TX 76104-2254 Ph: (817) 920-0484 |
Dr. Ilene Chiu, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2400 | |
Dr. Lisa Mckay Buckmiller, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 901 7th Ave, Fort Worth, TX 76104 Phone: 682-885-6850 Fax: 682-885-6799 | |
Dr. Brandon Lee Christianson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4601 Heritage Trace Pkwy, Fort Worth, TX 76244 Phone: 817-431-7985 Fax: 817-431-5031 | |
Stephen J White, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4601 Heritage Trace Parkway, Fort Worth, TX 76244 Phone: 817-431-7985 Fax: 817-431-5031 | |
Coral Alexandra Ruiz Mojica, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 923 Pennsylvania Ave Ste 100, Fort Worth, TX 76104 Phone: 817-920-0484 | |
Dr. Thomas Harold Nagel, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave # 265, Fort Worth, TX 76104 Phone: 682-200-8580 Fax: 682-200-8581 |