Dr Patrick M Jaeckle, DDS | |
311 Angel Song Cv, Spicewood, TX 78669-6710 | |
(512) 784-8343 | |
Not Available |
Full Name | Dr Patrick M Jaeckle |
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Gender | Male |
Speciality | Dentist |
Location | 311 Angel Song Cv, Spicewood, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508172412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | 14647 (Texas) | Primary |
Entity Name | Ysleta Del Sur Pueblo Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144390147 PECOS PAC ID: 7517055015 Enrollment ID: O20071116000507 |
Mailing Address | Practice Location Address |
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Dr Patrick M Jaeckle, DDS 5000 W Slaughter Ln Bldg 2, Austin, TX 78749-3997 Ph: (512) 652-5600 | Dr Patrick M Jaeckle, DDS 311 Angel Song Cv, Spicewood, TX 78669-6710 Ph: (512) 784-8343 |
Dr. Gary Sengbusch, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 20808 Sh71 W, Spicewood, TX 78669 Phone: 512-264-9333 | |
Mr. Brett W Anderson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 22106 Hwy 71 W, Spicewood, TX 78669 Phone: 512-264-9977 | |
Dr. Robert Wayne Gallagher, DDS; MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4900 Bee Creek, #201, Spicewood, TX 78669 Phone: 512-379-8222 Fax: 512-359-5851 | |
Dr. Charles Wayne Anderson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 22106 State Highway 71 W, Spicewood, TX 78669 Phone: 512-264-9977 Fax: 512-264-9517 | |
Dr. Richard Lee Crow, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 435 Coventry Rd, Spicewood, TX 78669 Phone: 830-693-0091 |