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Oscar R Salter

Anesthesiology

Allopathic & Osteopathic Physicians

12222 Merit Dr Ste 600, Dallas, TX 75251-3294

(972) 715-5000 (972) 233-1999

PECOS Enrollment

This provider is enrolled in PECOS as OSCAR SALTER.

Based on the most recent information from CMS, provider Oscar R Salter is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1063415925
Provider Type
Individual
Full Name
Salter, Oscar R
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
5/24/2005
Last Updated
8/11/2022

Contact Information

Practice Location

12222 Merit Dr Ste 600, Dallas, TX 75251-3294

(972) 715-5000

(972) 715-9976

Mailing Location

PO Box 840853, Dallas, TX 75284-5832

(972) 233-1999

(972) 233-3666

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License N4715 Texas
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 0101045309 Virginia

Provider Identifiers

ID	Description	Issuer
ID 068641	Description Other	Issuer ANTHEM BC OF VA Virginia
ID 10071	Description Other	Issuer OPTIMA SENTARA Virginia
ID 0597H	Description Other	Issuer BC BS OF NORTH CAROLINA North Carolina
ID 560597H	Description Medicaid	Issuer Unlisted North Carolina
ID 005730961	Description Medicaid	Issuer Unlisted Virginia

Oscar R Salter

PECOS Enrollment

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