Sridevi Panchamukhi, MD | |
5140 Legendary Dr, Frisco, TX 75034-9042 | |
(469) 325-1093 | |
(855) 592-0913 |
Full Name | Sridevi Panchamukhi |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 5140 Legendary Dr, Frisco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831197656 | NPI | - | NPPES |
H12137 | Other | IL | CHAMPVA |
H12137 | Other | IL | UNITED HEALTHCARE RR MEDI |
H12137 | Other | IL | TRICARE |
055761 | Other | IL | HEALTH ALLIANCE |
422714 | Other | IL | HEALTHLINK |
036-101393 | Medicaid | IL | |
036101393 | Other | IL | IDPA FEE FOR SERVICE |
H12137 | Other | IL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 036-101393 (Illinois) | Primary |
Entity Name | Obhg Texas Holdings Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
Entity Name | Sp Obgyn Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659056968 PECOS PAC ID: 1052765013 Enrollment ID: O20230925001238 |
Mailing Address | Practice Location Address |
---|---|
Sridevi Panchamukhi, MD 6863 Eldarica Pl, Frisco, TX 75034-8352 Ph: (469) 325-1093 | Sridevi Panchamukhi, MD 5140 Legendary Dr, Frisco, TX 75034-9042 Ph: (469) 325-1093 |
Emma Noelle Tessier, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5680 Frisco Square Blvd Ste 2700, Frisco, TX 75034 Phone: 972-668-8300 | |
Jennifer Elliott Allen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4461 Coit Rd Suite 205, Centennial Medical Center Pavilion Ii, Frisco, TX 75035 Phone: 972-731-9299 Fax: 972-731-9909 | |
Dr. Brittany Copenhaver Dobi, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 12500 Dallas Pkwy Ste 4.200, Frisco, TX 75033 Phone: 214-618-7100 | |
Pauline Petrovski, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4461 Coit Rd Ste 205, Frisco, TX 75035 Phone: 972-731-9299 Fax: 972-731-9909 | |
Meredith Ann Mcclure, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4461 Coit Rd Ste 205, Centennial Medical Center Pavilion Ii, Frisco, TX 75035 Phone: 972-731-9299 | |
Dr. Alan Mark Greenberg, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4401 Coit Rd Ste 305, Frisco, TX 75035 Phone: 972-743-6827 Fax: 972-469-6807 | |
Dr. Jennifer Bailey, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4461 Coit Rd, Suite 205, Frisco, TX 75035 Phone: 972-731-9299 Fax: 972-731-9909 |