Dr Brent Steven Reyburn, DO | |
5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229-3561 | |
(210) 541-8281 | |
(210) 541-9123 |
Full Name | Dr Brent Steven Reyburn |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 5430 Fredericksburg Rd Ste 508, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265691810 | NPI | - | NPPES |
334569601 | Medicaid | TX | |
0080895 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 34.010136 (Ohio) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | P8722 (Texas) | Primary |
Entity Name | Magella Medical Associates Billing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083631071 PECOS PAC ID: 8729970215 Enrollment ID: O20041115001144 |
Mailing Address | Practice Location Address |
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Dr Brent Steven Reyburn, DO 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229-3561 Ph: (210) 541-8281 | Dr Brent Steven Reyburn, DO 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229-3561 Ph: (210) 541-8281 |
Sarah Haley Gross, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14615 San Pedro Ave Ste 218-220, San Antonio, TX 78232 Phone: 210-644-3650 Fax: 210-702-6979 | |
Dr. Wilson Wayne Grant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5282 Medical Dr, Ste 310, San Antonio, TX 78229 Phone: 210-614-8687 Fax: 210-614-7529 | |
Dr. Jane T Atkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7922 Ewing Halsell Dr, Suite 270, San Antonio, TX 78229 Phone: 210-614-2828 Fax: 210-614-2558 | |
Pedro Nelson Chavez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 Madison Oak Dr, Suite 103, San Antonio, TX 78258 Phone: 210-297-8640 Fax: 210-297-8640 | |
Dr. Jose F Pascual-baralt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7419 Round Mtn, San Antonio, TX 78255 Phone: 210-695-2906 | |
Mr. Byron Scott Dooley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Oak Centre, Suite 350, San Antonio, TX 78258 Phone: 210-297-4560 Fax: 210-297-0451 | |
Dr. Elizabeth Christiane Diltz Menking, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7700 Floyd Curl, San Antonio, TX 78229 Phone: 210-871-4409 Fax: 210-524-9599 |