Dr Joel Bruce Dacus, DPM | |
4444 Heritage Trace Pkwy Ste 400, Fort Worth, TX 76244-8944 | |
(817) 424-3668 | |
(817) 741-4001 |
Full Name | Dr Joel Bruce Dacus |
---|---|
Gender | Male |
Speciality | Podiatrist - Primary Podiatric Medicine |
Location | 4444 Heritage Trace Pkwy Ste 400, 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 |
---|---|---|---|
1699034728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213EP1101X | Podiatrist - Primary Podiatric Medicine | 2003 (Texas) | Primary |
Provider Name | Trang Thu Nguyen Dpm Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063694909 PECOS PAC ID: 5395702377 Enrollment ID: O20041210000655 |
Mailing Address | Practice Location Address |
---|---|
Dr Joel Bruce Dacus, DPM Po Box 834, Sanger, TX 76266-0834 Ph: (214) 404-9376 | Dr Joel Bruce Dacus, DPM 4444 Heritage Trace Pkwy Ste 400, Fort Worth, TX 76244-8944 Ph: (817) 424-3668 |
Travis A Motley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 5th Ave Ste 400, Fort Worth, TX 76104 Phone: 817-702-9100 Fax: 817-882-9242 | |
Kenneth Lynn James, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1712 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-877-5781 Fax: 817-877-5782 | |
Dr. Moody Mankerious, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8751 Camp Bowie West Blvd Ste 123, Fort Worth, TX 76116 Phone: 817-494-0566 Fax: 949-404-6277 | |
Mark S Lisch, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 6816 Shadow Creek Ct, Fort Worth, TX 76132 Phone: 832-368-6841 | |
Kevin D. Rhodes, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 750 North Fwy, Fort Worth, TX 76102 Phone: 817-391-0130 Fax: 817-391-0136 | |
Brian B Carpenter, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2900 | |
Dr. Rona Wai Yin Law, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 923 College Ave Ste 101, Fort Worth, TX 76104 Phone: 817-697-4038 Fax: 877-409-3962 |