Daniel G Berson, DO | |
2304 Hancock Dr Ste 4, Austin, TX 78756-2540 | |
(512) 407-8444 | |
(512) 407-8097 |
Full Name | Daniel G Berson |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 25 Years |
Location | 2304 Hancock Dr Ste 4, Austin, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447224415 | NPI | - | NPPES |
L-9100 | Other | TX | STATE LICENSE |
P00302021 | Other | MEDICARE RAILROAD | |
P00376055 | Other | MEDICARE RAILROAD | |
1666901103 | Medicaid | TX | |
166690102 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | A-2246-19 (New Mexico) | Primary |
207L00000X | Anesthesiology | L-9100 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lovelace Medical Center | Albuquerque, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Main Street Anesthesia Of New Mexico, Llc | 3476807538 | 149 |
Entity Name | Main Street Anesthesia Of New Mexico, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
Mailing Address | Practice Location Address |
---|---|
Daniel G Berson, DO Po Box 300087, Austin, TX 78703-0002 Ph: (512) 407-8444 | Daniel G Berson, DO 2304 Hancock Dr Ste 4, Austin, TX 78756-2540 Ph: (512) 407-8444 |
Dr. John W Wages, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4100 Duval Rd, Bldg Iii Suite 200, Austin, TX 78759 Phone: 512-485-7200 Fax: 512-485-7224 | |
Allison Rae Losey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Dr. James Patrick Fogarty Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8140 N Mopac Expy Ste 3-210, Austin, TX 78759 Phone: 512-343-2292 | |
Vijay K. Ravula, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Gary L. Mihm, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Todd Paricio, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 N Lamar Blvd, Austin, TX 78756 Phone: 512-407-8444 Fax: 512-407-8097 | |
Dr. Rebecca R Porras, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2454 Fax: 512-454-1532 |