Theodore J Lilly (NPI# 1154307932, PAC ID# 1759458755) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1154307932 |
| PAC ID by PECOS | 1759458755 |
| Professional Enrollment ID | I20080917000179 |
| Full Name | Theodore J Lilly |
| Organization Legal Name | QUESTCARE MEDICAL CLINICS PLLC |
| Address |
1001 Matlock Rd Suite 101 Mansfield TX 76063-3443 |
| Phone Number | 8173456161 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6608010541 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670023 | METHODIST MANSFIELD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1001 Matlock Rd, Suite 101, Mansfield, TX 76063-3443 | 8173456161 | QUESTCARE MEDICAL CLINICS PLLC |
| Organization Legal Name | QUESTCARE MEDICAL CLINICS PLLC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mamta Sigdel | Nurse Practitioner | Questcare Medical Clinics Pllc | 4987 W University Dr, Suite 150, Mckinney, TX 75071-5074 |
| Manjoo Sharma | Internal Medicine | Questcare Medical Clinics Pllc | 1571 Sw Wilshire Blvd, Suite 500, Burleson, TX 76028-8717 |
| Jyoti Bharti | Internal Medicine | Questcare Medical Clinics Pllc | 720 N Denton Tap Rd, Suite 150, Coppell, TX 75019-2162 |
| Rebecca N Wolverton | Nurse Practitioner | Questcare Medical Clinics Pllc | 1571 Sw Wilshire Blvd, Suite 500, Burleson, TX 76028-8717 |
| Edwin O Del Rosario | Internal Medicine | Questcare Medical Clinics Pllc | 1571 Sw Wilshire Blvd, Suite 500, Burleson, TX 76028-8717 |
| Saima T Ali | Nurse Practitioner | Questcare Medical Clinics Pllc | 12200 Park Central Dr, Suite 100, Dallas, TX 75251-2124 |
| Harshal H Jani | Physician Assistant | Questcare Medical Clinics Pllc | 1571 Sw Wilshire Blvd, Suite 500, Burleson, TX 76028-8717 |
| Kurtt R Wix | Family Medicine | Questcare Medical Clinics Pllc | 1571 Sw Wilshire Blvd, Suite 500, Burleson, TX 76028-8717 |
| Mellisse M Morgan | Physician Assistant | Questcare Medical Clinics Pllc | 1571 Sw Wilshire Blvd, Suite 500, Burleson, TX 76028-8717 |
| Brenda U Iyamu | Family Medicine | Questcare Medical Clinics Pllc | 1001 Matlock Rd, Suite 101, Mansfield, TX 76063-3443 |
| Street Address |
1001 MATLOCK RD SUITE 101 |
| City | MANSFIELD |
| State | TX |
| Zip | 76063-3443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda U Iyamu | Family Medicine | Questcare Medical Clinics Pllc | 1001 Matlock Rd, Suite 101, Mansfield, TX 76063-3443 |
| Randall K Wagman | Family Medicine | Questcare Medical Clinics Pllc | 1001 Matlock Rd, Suite 101, Mansfield, TX 76063-3443 |
| Laura Anne Rizzo | Family Medicine | Questcare Medical Clinics Pllc | 1001 Matlock Rd, Suite 101, Mansfield, TX 76063-3443 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcelle A Petry | Chiropractic | 2400 Hwy 287 N 104, Mansfield, TX 76063 | |
| Susan G Roberson | Physical Therapy | Physical Therapy of Mansfield,llc | 1580 Hwy 287 N, Mansfield, TX 76063 |
| Riaz Haider | Family Medicine | 1290 Hwy 157 N, Mansfield, TX 76063-1538 | |
| Gerald L Ray | Family Medicine | Texas Health Physicians Group | 501 E Broad St, Mansfield, TX 76063-1709 |
| David N Podgurecki | Family Medicine | 1752 Broad Park Cir N, Suite 114, Mansfield, TX 76063-1868 | |
| Jaremy E James | Internal Medicine | Medhealth | 252 Matlock Rd, Suite 130, Mansfield, TX 76063-2079 |
| Kyle A Cooke | Optometry | 990 Hwy 287 N, Suite 109, Mansfield, TX 76063-2611 | |
| Khuong D Phan | Internal Medicine | Khuong Phan, D.o., P.a. | 920 Us Hwy 287 N, Mansfield Medical Associates, Mansfield, TX 76063-2627 |
| Sumeesh Dhawan | Internal Medicine | Khuong Phan, D.o., P.a. | 920 Us Hwy 287 N, Mansfield Medical Associates, Mansfield, TX 76063-2627 |
| Brooke Bryant | Chiropractic | Mansfield Chiropractic Center LLC | 1071 Country Club, Suite 101, Mansfield, TX 76063-2663 |
| Find all physicians in zip 76063 | |||
| City | MANSFIELD |
| Zip Code | 76063 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MANSFIELD + INTERNAL MEDICINE |
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| 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.