Aleksandra Vidacic, MD | |
120 E Harris Ave, San Angelo, TX 76903-5904 | |
(325) 653-6741 | |
(325) 481-2166 |
Full Name | Aleksandra Vidacic |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 22 Years |
Location | 120 E Harris Ave, San Angelo, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629272224 | NPI | - | NPPES |
206611007 | Medicaid | TX | |
3864783243 | Other | MYUTMB 3864783243-COMMERCIAL NUMBER | |
206611002 | Medicaid | TX | |
206611003 | Medicaid | TX | |
206611006 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | BP10026411 (Texas) | Secondary |
207R00000X | Internal Medicine | N4181 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Shannon Medical Center | San angelo, TX | Hospital |
Citizens Medical Center | Victoria, TX | Hospital |
Concho County Hospital | Eden, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Shannon Clinic | 0840103727 | 411 |
Hospitalist Medicine Physicians Of Texas Pllc | 3476688318 | 889 |
Citizens Medical Center County Of Victoria | 3577785096 | 85 |
Dr.av, Pllc | 4981837879 | 2 |
Entity Name | Shannon Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
Entity Name | Cogent Healthcare Of Texas Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20061121000364 |
Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021 |
Entity Name | Dr.av, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902236003 PECOS PAC ID: 4981837879 Enrollment ID: O20140430000173 |
Entity Name | Citizens Medical Center County Of Victoria |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205242088 PECOS PAC ID: 3577785096 Enrollment ID: O20141117000499 |
Entity Name | Hospitalist Medicine Physicians Of Texas - San Antonio Ii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356987093 PECOS PAC ID: 1557798279 Enrollment ID: O20200219000239 |
Mailing Address | Practice Location Address |
---|---|
Aleksandra Vidacic, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Aleksandra Vidacic, MD 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 653-6741 |
Dr. Jesse L Jurado, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3501 Executive Dr, San Angelo, TX 76904 Phone: 325-949-5081 Fax: 325-224-4284 | |
Dennis Durham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-947-6063 Fax: 325-947-6189 | |
Charles M Jones, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-481-2198 Fax: 325-659-0180 | |
David R Delaplane, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Executive Dr Ste 108, San Angelo, TX 76904 Phone: 325-245-4500 Fax: 325-245-4040 | |
Dr. Kai M Sun, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3350 Executive Dr, Suite 100, San Angelo, TX 76904 Phone: 325-245-4501 | |
Javier Leoncio Baez Presser, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-481-6410 | |
Dr. Ekemini Benedict Usoro, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 |