John P Kane, PA | |
855 Montgomery St, Fort Worth, TX 76107-2553 | |
(817) 735-2900 | |
Not Available |
Full Name | John P Kane |
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Gender | Male |
Speciality | Physician Assistant |
Location | 855 Montgomery St, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235329822 | NPI | - | NPPES |
351426701 | Medicaid | TX | |
8986NR | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | PA05284 (Texas) | Secondary |
363A00000X | Physician Assistant | PA05284 (Texas) | Primary |
Entity Name | University Of Texas Southwestern Medical Center At Dallas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972579365 PECOS PAC ID: 0648188250 Enrollment ID: O20031106000792 |
Mailing Address | Practice Location Address |
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John P Kane, PA Po Box 99335, Fort Worth, TX 76199-0335 Ph: () - | John P Kane, PA 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 735-2900 |
Phillip Steven Woessner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1325 Pennsylvania Ave Ste 890, Fort Worth, TX 76104 Phone: 817-250-4280 Fax: 817-250-4281 | |
Shane Kelleher, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7840 Fax: 682-885-7856 | |
Danielle Purcell Lopez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 | |
Jaimie Ann Story, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6900 Harris Pkwy Ste 310, Fort Worth, TX 76132 Phone: 817-375-5200 | |
Benjamin Craig, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Cooper St Fl 4, Fort Worth, TX 76104 Phone: 682-885-2500 | |
Sharyl Workman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-927-1100 | |
Mrs. Audrey Raquel Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 901 Hemphill St, Fort Worth, TX 76104 Phone: 817-332-4060 Fax: 817-332-2304 |