Lee Scott Bloemendal, MD | |
1325 Pennsylvania Ave, Suite 720, Fort Worth, TX 76104-2144 | |
(817) 810-9495 | |
(817) 336-8941 |
Full Name | Lee Scott Bloemendal |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 25 Years |
Location | 1325 Pennsylvania Ave, 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 |
---|---|---|---|
1790700524 | NPI | - | NPPES |
165908801 | Medicaid | TX | |
P00226493 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | L8284 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Health Harris Methodist Hospital Fort Worth | Fort worth, TX | Hospital |
Baylor Scott And White Surgical Hospital Fortworth | 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 |
Mailing Address | Practice Location Address |
---|---|
Lee Scott Bloemendal, MD Po Box 961205, Fort Worth, TX 76161-1205 Ph: (817) 740-8400 | Lee Scott Bloemendal, MD 1325 Pennsylvania Ave, Suite 720, Fort Worth, TX 76104-2144 Ph: (817) 810-9495 |
Amelia Brooke Tower, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Ste 420, Fort Worth, TX 76104 Phone: 817-250-6570 | |
Dr. Travis Corgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 8th Ave, Suite 306, Fort Worth, TX 76104 Phone: 682-224-3748 Fax: 682-841-0039 | |
Robert G Snow, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2501 Parkview Dr Ste 560, Fort Worth, TX 76102 Phone: 817-850-1100 Fax: 817-850-1104 | |
Mohammad Alqaim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave Ste 200, Fort Worth, TX 76104 Phone: 817-912-8238 | |
Ryan Kostka, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St Fl 2, Fort Worth, TX 76104 Phone: 817-702-3000 Fax: 817-927-3958 | |
Dr. Nabeel M Shabout, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3848 N Tarrant Pkwy Ste 100, Fort Worth, TX 76244 Phone: 817-753-6917 Fax: 817-753-6921 | |
Miss Ruth Ellen Jones, M. D. Surgery Medicare: Medicare Enrolled Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7080 Fax: 682-885-7085 |