Ronald Douglas Tanner, DO | |
4421 Oak Park Ln Ste 102, Fort Worth, TX 76109-9541 | |
(817) 732-2878 | |
(817) 732-9315 |
Full Name | Ronald Douglas Tanner |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 45 Years |
Location | 4421 Oak Park Ln Ste 102, 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 |
---|---|---|---|
1568441616 | NPI | - | NPPES |
040573013 | Medicaid | TX | |
040573014 | Medicaid | TX | |
040573016 | Medicaid | TX | |
P00005154 | Other | TX | RAILROAD MEDICARE |
8A3354 | Other | TX | BCBS |
040573015 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | K8515 (Texas) | Secondary |
207Q00000X | Family Medicine | K8515 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chicot Memorial Medical Center | Lake village, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arkansas Emergency Staffing Solutions Inc | 3274681341 | 32 |
Entity Name | Arkansas Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
Mailing Address | Practice Location Address |
---|---|
Ronald Douglas Tanner, DO 4421 Oak Park Ln Ste 102, Fort Worth, TX 76109-9541 Ph: (817) 732-2878 | Ronald Douglas Tanner, DO 4421 Oak Park Ln Ste 102, Fort Worth, TX 76109-9541 Ph: (817) 732-2878 |
Jonathan A Lazarini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 903-353-2265 | |
Mrs. Adeline Galvez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1300 W Terrell Ave Ste 270, Fort Worth, TX 76104 Phone: 817-250-4987 | |
Fomundam Newnton Mbuh, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 4759 South Fwy Ste 101, Fort Worth, TX 76115 Phone: 817-382-0005 | |
Dr. Joane Baumer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Family Medicine Center, Fort Worth, TX 76104 Phone: 817-335-1034 | |
Evelyn Tobias-merrill, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2825 Stadium Dr, Fort Worth, TX 76109 Phone: 817-257-7940 | |
Dr. Michael David Carletti, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-0278 | |
Jonathan Patrick Angel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 N Beach St Ste 104, Fort Worth, TX 76111 Phone: 817-831-1750 Fax: 817-831-1750 |