Sean Daryl Wengroff, MD | |
540 W 15th St, Hereford, TX 79045 | |
(806) 364-7512 | |
(806) 349-5652 |
Full Name | Sean Daryl Wengroff |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 30 Years |
Location | 540 W 15th St, Hereford, 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 |
---|---|---|---|
1043273873 | NPI | - | NPPES |
163758901 | Medicaid | TX | |
8K4080 | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | L4167 (Texas) | Secondary |
207V00000X | Obstetrics & Gynecology | L4167 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maxie C Sprott Ii Md Pa | 6800980525 | 2 |
Entity Name | Deaf Smith County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568454403 PECOS PAC ID: 8123923497 Enrollment ID: O20040510000475 |
Entity Name | Maxie C Sprott Ii Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326134594 PECOS PAC ID: 6800980525 Enrollment ID: O20090202000108 |
Entity Name | Medical United Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720675648 PECOS PAC ID: 1850705732 Enrollment ID: O20210204001957 |
Entity Name | Texas Health Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992473391 PECOS PAC ID: 5597153221 Enrollment ID: O20211028001587 |
Mailing Address | Practice Location Address |
---|---|
Sean Daryl Wengroff, MD 540 W 15th St, Hereford, TX 79045-2820 Ph: (806) 364-7512 | Sean Daryl Wengroff, MD 540 W 15th St, Hereford, TX 79045 Ph: (806) 364-7512 |
Dr. Tabitha Davies, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 540 W 15th St, Hereford, TX 79045 Phone: 806-364-7512 |