Dr Greg Jack Amelung, DPM | |
1940 E Highway 114 Ste 150, Southlake, TX 76092-6526 | |
(817) 503-0009 | |
(817) 503-8909 |
Full Name | Dr Greg Jack Amelung |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 23 Years |
Location | 1940 E Highway 114 Ste 150, Southlake, 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 |
---|---|---|---|
1427057348 | NPI | - | NPPES |
0013MS | Other | TX | BCBS GROUP |
1376738971 | Other | TX | GROUP NPI |
1427057348 | Other | TX | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | 1859 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hm Podiatry P A | 2860425287 | 3 |
Provider Name | Hm Podiatry P A |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376738971 PECOS PAC ID: 2860425287 Enrollment ID: O20050915001129 |
Mailing Address | Practice Location Address |
---|---|
Dr Greg Jack Amelung, DPM 809 W Harwood Rd Ste 202, Hurst, TX 76054-6233 Ph: (817) 424-3668 | Dr Greg Jack Amelung, DPM 1940 E Highway 114 Ste 150, Southlake, TX 76092-6526 Ph: (817) 503-0009 |
Academy Foot & Ankle Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 1940 Highway 114, Ste 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Paul Thomas Marciano, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Charleen Marie Handzel, D.P.M Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1422 Main St, Suite 249, Southlake, TX 76092 Phone: 817-329-0013 Fax: 817-410-1412 | |
Southlake Family Foot Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1422 Main St, Ste 249, Southlake, TX 76092 Phone: 817-329-0013 Fax: 817-410-1412 | |
Dorian Louis Jimenez, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1940 Hwy 114 Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 | |
Brady Mallory, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1940 East Hwy 114 Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637 |