Detlef Wencker (NPI# 1285634881, PAC ID# 1557312980) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1285634881 |
| PAC ID by PECOS | 1557312980 |
| Professional Enrollment ID | I20171128001201 |
| Full Name | Detlef Wencker |
| Organization Legal Name | HEALTHTEXAS PROVIDER NETWORK |
| Address |
611 N Hall St 400 Baylor Scott and White Cardiology Consultants of Te Dallas TX 75226-1337 |
| Phone Number | 4698007400 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 1355254210 |
| Number of Group Practice Members | 1318 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450021 | BAYLOR UNIVERSITY MEDICAL CENTER |
| 450851 | BAYLOR SCOTT & WHITE HEART & VASCULAR HOSPITAL - DALLAS |
| Address | Phone | Organization |
|---|---|---|
| 3500 Gaston Ave, Fl 1, Dallas, TX 75246-2017 | 9728176100 | HEALTHTEXAS PROVIDER NETWORK |
| 3600 Gaston Ave, Dallas, TX 75246-1800 | HEALTHTEXAS PROVIDER NETWORK | |
| 4001 Worth St, Dallas, TX 75246-1608 | HEALTHTEXAS PROVIDER NETWORK | |
| 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 | 4698007400 | HEALTHTEXAS PROVIDER NETWORK |
| Organization Legal Name | HEALTHTEXAS PROVIDER NETWORK |
| Physicians | 1392 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen T Mathew | Orthopedic Surgery | Healthtexas Provider Network | 2460 N Ih 35 E, 225 Baylor Scott and White Orthopedic Specialists, Waxahachie, TX 75165-5273 |
| Patrick D Sims | Physical Medicine and Rehabilitation | Healthtexas Provider Network | 6601 Harris Pkwy, Fort Worth, TX 76132-6108 |
| Nadia Karyn Rajack | Hospice/palliative Care | Healthtexas Provider Network | 3410 Worth St, 820 Baylor Scott White, Dallas, TX 75246-2003 |
| Enayetullah Neak | Family Medicine | Healthtexas Provider Network | 2740 N State Hwy 360, Suite 100, Grand Prairie, TX 75050-6409 |
| Jessica L Hainsfurther | Family Medicine | Healthtexas Provider Network | 5800 E Lovers Ln, Dallas, TX 75206-2901 |
| Kathryn R Taylor | Nurse Practitioner | Healthtexas Provider Network | 6701 Heritage Pkwy, Suite 130, Rockwall, TX 75087-8799 |
| Rachel L Pigeon | Nurse Practitioner | Healthtexas Provider Network | 1250 8th Ave, Suite 200, Fort Worth, TX 76104-4158 |
| Hollyann D Bennett | Nurse Practitioner | Healthtexas Provider Network | 511 W Fm 544, 204 Baylor Scott and White Premier Orthop, Murphy, TX 75094-4628 |
| Caroline K Kesterson | Nurse Practitioner | Healthtexas Provider Network | 4708 Alliance Blvd, Suite 550, Plano, TX 75093-5363 |
| Neil A Mauskar | Plastic and Reconstructive Surgery | Healthtexas Provider Network | 3409 Worth St, 600 Baylor Scott and White Plastic and Recons Surg Dall, Dallas, TX 75246-2042 |
| Street Address |
611 N HALL ST 400 BAYLOR SCOTT AND WHITE CARDIOLOGY CONSULTANTS OF TE |
| City | DALLAS |
| State | TX |
| Zip | 75226-1337 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mamta Gupta | Internal Medicine | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Ariel M Modry Kamien | Critical Care (intensivists) | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Sadat A Shamim | Neurology | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Huong Dang | Internal Medicine | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Sunny S Esquenazi | Nurse Practitioner | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Kenneth A. Ausloos | Pulmonary Disease | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Mark A Casanova | Hospice/palliative Care | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Pierre M Mikhael | Internal Medicine | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Vani J Albertson Konda | Gastroenterology | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Idrees Abdul Qadir Mogri | Pulmonary Disease | Healthtexas Provider Network | 611 N Hall St, 400 Baylor Scott and White Cardiology Consultants of Te, Dallas, TX 75226-1337 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Stephen Donsky | Interventional Cardiology | Heartplace Pa | 621 N Hall St, Suite 500, Dallas, TX 75226-1301 |
| Arash M Shirvani | Vascular Surgery | Texas Vascular Associates | 621 N Hall St, Suite 100, Dallas, TX 75226-1305 |
| Robert S Corn | Vascular Surgery | Texas Vascular Associates | 621 N Hall St, Suite 100, Dallas, TX 75226-1305 |
| Bradley R Grimsley | Vascular Surgery | Texas Vascular Associates | 621 N Hall St, Suite 100, Dallas, TX 75226-1305 |
| Dennis R Gable | Vascular Surgery | Texas Vascular Associates | 621 N Hall St, Suite 100, Dallas, TX 75226-1305 |
| Gregory J Pearl | Vascular Surgery | Texas Vascular Associates | 621 N Hall St, Suite 100, Dallas, TX 75226-1305 |
| Jennifer A Dailey | Nurse Practitioner | Texas Vascular Associates | 621 N Hall St, Suite 100, Dallas, TX 75226-1305 |
| Kevin Robert Wheelan | Cardiac Electrophysiology | Healthtexas Provider Network | 621 N Hall St, Suite 120, Dallas, TX 75226-1307 |
| Katherine D Thornton | Physician Assistant | Healthtexas Provider Network | 621 N Hall St, Suite 120, Dallas, TX 75226-1307 |
| Dan M Meyer | Thoracic Surgery | Healthtexas Provider Network | 621 N Hall St, Suite 120, Dallas, TX 75226-1307 |
| Find all physicians in zip 75226 | |||
| City | DALLAS |
| Zip Code | 75226 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | DALLAS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Detlef Wencker.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.