Dr Jessica I Acevedo-gracia, MD | |
5817 Patton St, Suite 101, Corpus Christi, TX 78414 | |
(361) 992-9383 | |
(361) 992-9543 |
Full Name | Dr Jessica I Acevedo-gracia |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 5817 Patton St, Corpus Christi, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821080136 | NPI | - | NPPES |
172865101 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | L9052 (Texas) | Primary |
Entity Name | Sunnyside Pediatrics Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588929764 PECOS PAC ID: 1658528500 Enrollment ID: O20120828000422 |
Mailing Address | Practice Location Address |
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Dr Jessica I Acevedo-gracia, MD 5817 Patton St Ste 101, Corpus Christi, TX 78414-2428 Ph: (361) 992-9383 | Dr Jessica I Acevedo-gracia, MD 5817 Patton St, Suite 101, Corpus Christi, TX 78414 Ph: (361) 992-9383 |
Melissa Catherine Mizesko, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3533 S. Alameda, Corpus Christi, TX 78411 Phone: 361-694-4864 Fax: 361-851-6867 | |
Vanessa Casanova Gonzalez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-694-5000 | |
Marisa Araceli Calderon, LVN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 N Shoreline Blvd Ste 700s, Corpus Christi, TX 78401 Phone: 361-937-7887 | |
Farooq Jameel Husayn, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6214 Saratoga Blvd Bldg 3 Ste A, Corpus Christi, TX 78414 Phone: 361-520-4250 Fax: 361-444-5070 | |
Dr. Ashok Jain, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3533 S Alameda St, Corpus Christi, TX 78411 Phone: 361-694-6128 Fax: 361-694-6955 | |
Jennifer Christine Olivarez, FNP-C Pediatrics Medicare: Medicare Enrolled Practice Location: 2120 Baldwin Blvd, Corpus Christi, TX 78405 Phone: 361-500-0096 | |
Anon Srikiatkhachorn, Pediatrics Medicare: Medicare Enrolled Practice Location: 5402 S Staples St, Corpus Christi, TX 78411 Phone: 361-882-3487 |