Ana Fuentevilla, MD | |
2500 W William Cannon Dr Ste 205, Austin, TX 78745-5288 | |
(512) 548-0465 | |
(737) 707-3908 |
Full Name | Ana Fuentevilla |
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Gender | Female |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 2500 W William Cannon Dr Ste 205, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679554430 | NPI | - | NPPES |
110643 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | T9687 (Texas) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | 18893 (Arizona) | Secondary |
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
Entity Name | Suvida Healthcare Npho |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033842414 PECOS PAC ID: 8325423650 Enrollment ID: O20220922000558 |
Mailing Address | Practice Location Address |
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Ana Fuentevilla, MD 211 E 7th St Ste 700, Austin, TX 78701-3218 Ph: () - | Ana Fuentevilla, MD 2500 W William Cannon Dr Ste 205, Austin, TX 78745-5288 Ph: (512) 548-0465 |
Dr. Tatiana B. Jacobson, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746 Phone: 512-323-5465 Fax: 512-327-1390 | |
Preeti Venkatraman, M.B.B.S. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-7000 | |
Pritesh Harish Gandhi, M.D., M.P.H. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832 | |
Dr. Joshua Lane Davis, D.O. Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705 Phone: 512-324-3440 | |
Dr. Grace Marie Grant-jennings, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Dr. Debra Ann Patt, MD, MPH Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6204 Balcones Dr, Austin, TX 78731 Phone: 512-427-9400 Fax: 512-342-2723 | |
Dr. Matthew Morris Medlock, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247 |