Brooke Ruth Wagen, MD | |
5339 N Ih 35, Austin, TX 78723-2557 | |
(512) 978-8130 | |
Not Available |
Full Name | Brooke Ruth Wagen |
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Gender | Female |
Speciality | Internal Medicine - Hospice And Palliative Medicine |
Location | 5339 N Ih 35, 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 |
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1871114561 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | U1789 (Texas) | Secondary |
207RH0002X | Internal Medicine - Hospice And Palliative Medicine | U1789 (Texas) | Primary |
Entity Name | Central Texas Palliative Care Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487686226 PECOS PAC ID: 4880686773 Enrollment ID: O20040331001364 |
Mailing Address | Practice Location Address |
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Brooke Ruth Wagen, MD 1111 E Cesar Chavez St, Austin, TX 78702-4209 Ph: () - | Brooke Ruth Wagen, MD 5339 N Ih 35, Austin, TX 78723-2557 Ph: (512) 978-8130 |
Dr. Tatiana B. Jacobson, M.D. Internal 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. Internal 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. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832 | |
Dr. Joshua Lane Davis, D.O. Internal 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. Internal 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 Internal 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. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247 |