Dr John Edeen Iii, MD | |
4499 Medical Dr, Suite 235, San Antonio, TX 78229-3735 | |
(210) 692-1613 | |
(210) 616-0290 |
Full Name | Dr John Edeen Iii |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 4499 Medical Dr, 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 |
---|---|---|---|
1972578565 | NPI | - | NPPES |
048514602 | Other | TX | TPI |
048514602 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | K3719 (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 |
---|---|
Dr John Edeen Iii, MD 4499 Medical Drive, Suite 235, San Antonio, TX 78229-3712 Ph: (210) 692-1613 | Dr John Edeen Iii, MD 4499 Medical Dr, Suite 235, San Antonio, TX 78229-3735 Ph: (210) 692-1613 |
Antonio J Webb, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9150 Huebner Rd Ste 290, San Antonio, TX 78240 Phone: 210-614-6432 Fax: 210-293-4171 | |
Michael Anthony Earle, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8711 Village Dr, Ste 207, San Antonio, TX 78217 Phone: 210-656-6721 Fax: 210-655-4309 | |
Dean A Lusardi, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 8300 Floyd Curl Dr Fl 3, San Antonio, TX 78229 Phone: 210-450-9300 Fax: 210-450-6023 | |
Francisco J Garcia, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 Concord Plaza Dr Ste 300, San Antonio, TX 78216 Phone: 210-396-5310 Fax: 210-396-5316 | |
Lauren Emma Karbach, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 19138 Us Highway 281 N, San Antonio, TX 78258 Phone: 210-489-7225 | |
Kent Reinker, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-257-1614 Fax: 210-257-1428 | |
Dr. Roger J Lunke, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2833 Babcock Rd Ste 435, San Antonio, TX 78229 Phone: 210-705-5060 Fax: 210-705-5171 |