Thomas Russell Dietze, MD | |
5402 S Staples St, Suite 100, Corpus Christi, TX 78411-4656 | |
(361) 992-9400 | |
(361) 992-8295 |
Full Name | Thomas Russell Dietze |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 42 Years |
Location | 5402 S Staples St, Corpus Christi, 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 |
---|---|---|---|
1417938713 | NPI | - | NPPES |
129833303 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | H1574 (Texas) | Secondary |
207W00000X | Ophthalmology | H1574 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Spohn Hospital Corpus Christi | Corpus christi, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
South Texas Eye Consultants, Pllc | 9335203611 | 2 |
Entity Name | South Texas Eye Consultants, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396819769 PECOS PAC ID: 9335203611 Enrollment ID: O20090202000068 |
Mailing Address | Practice Location Address |
---|---|
Thomas Russell Dietze, MD 5402 S Staples St, Suite 100, Corpus Christi, TX 78411-4656 Ph: (361) 992-9400 | Thomas Russell Dietze, MD 5402 S Staples St, Suite 100, Corpus Christi, TX 78411-4656 Ph: (361) 992-9400 |
Dr. William C Newberry, M.D., P.A. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3301 S Alameda St Ste 403, Corpus Christi, TX 78411 Phone: 361-853-7319 Fax: 361-853-1641 | |
John E. Bishop, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4707 Everhart Rd, Suite 108, Corpus Christi, TX 78411 Phone: 361-857-6600 | |
Dr. Jacob Jackson Moore, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 900 Morgan Ave, Corpus Christi, TX 78404 Phone: 361-888-4288 Fax: 361-888-4293 | |
Dr. Charles H Campbell, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5540 Saratoga Blvd, Suite 200, Corpus Christi, TX 78413 Phone: 361-993-8510 Fax: 361-993-9184 | |
Dr. Jerry Dean Hunsaker Jr., M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4707 Everhart Rd, #106, Corpus Christi, TX 78411 Phone: 361-854-7505 Fax: 361-855-1224 | |
Arnoldo R. Villarreal, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1521 S Staples St, Suite 204, Corpus Christi, TX 78404 Phone: 361-882-4584 Fax: 361-882-5816 | |
Jack A Sahadi, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 900 Morgan Ave, Corpus Christi, TX 78404 Phone: 361-888-4288 Fax: 381-888-4786 |