Dr Jennifer L Wallace, M D | |
7720 Jones Maltsberger, Suite 110, San Antonio, TX 78216 | |
(210) 822-2004 | |
(210) 822-2215 |
Full Name | Dr Jennifer L Wallace |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 7720 Jones Maltsberger, San Antonio, 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 |
---|---|---|---|
1699760934 | NPI | - | NPPES |
117537404 | Medicaid | TX | |
117537405 | Medicaid | TX | |
135685902 | Medicaid | TX | |
8DL467 | Other | TX | BCBSTX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | H9277 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Execudoc, Inc | 6305822438 | 2 |
Entity Name | Execudoc, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730386905 PECOS PAC ID: 6305822438 Enrollment ID: O20040628001559 |
Mailing Address | Practice Location Address |
---|---|
Dr Jennifer L Wallace, M D 7720 Jones Maltsberger, Suite 110, San Antonio, TX 78216 Ph: (210) 822-2004 | Dr Jennifer L Wallace, M D 7720 Jones Maltsberger, Suite 110, San Antonio, TX 78216 Ph: (210) 822-2004 |
Dr. Dennis Anthony Ruff, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112 | |
Eduardo N. Pollono, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960 | |
Zarema J Singson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952 | |
Sapna Raghunathan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065 | |
Dr. Jonathan Edward Slovik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-0647 | |
Mr. Paul Joseph Fanucchi, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: Marianist Residence, 520 Fondham, San Antonio, TX 78228 Phone: 210-434-4157 Fax: 210-433-6005 | |
Socrates B Aramburu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212 Phone: 210-271-3204 Fax: 210-222-2761 |