Dr Mark A Antonacci, MD | |
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
(850) 687-0316 | |
Not Available |
Full Name | Dr Mark A Antonacci |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 27 Years |
Location | 3551 Roger Brooke Dr, Fort Sam Houston, 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 |
---|---|---|---|
1083673016 | NPI | - | NPPES |
01791 | Other | FL | BCBS |
059191709 | Other | AL | BCBS |
059191697 | Other | AL | BCBS |
261491000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | ME82194 (Florida) | Secondary |
207P00000X | Emergency Medicine | P4138 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Urgent Care Pa | 3072679828 | 122 |
Entity Name | Legacy Urgent Care Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
Entity Name | Premier Physicians - Ii Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801204656 PECOS PAC ID: 9234416744 Enrollment ID: O20170511000584 |
Entity Name | Cec Dezavala Er Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528453495 PECOS PAC ID: 7517201395 Enrollment ID: O20181205001370 |
Entity Name | Cec San Antonio Er Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124364302 PECOS PAC ID: 3173954955 Enrollment ID: O20200511003066 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark A Antonacci, MD 318 Tranquil Oak, San Antonio, TX 78260-3504 Ph: (850) 687-0316 | Dr Mark A Antonacci, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (850) 687-0316 |
Sara Birdsong, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Mrs. Robyn Ruth Lombardo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Jacob Powell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3851 Roger Brooke Dr # 3600, Department Of Emergency Medicine, Fort Sam Houston, TX 78234 Phone: 210-916-6129 | |
Jason Michael Dillashaw, P.A. - C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141 | |
Dr. Evan Morris Baines, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
John Garr, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |