Dr Vani Sundaram Menon, MD | |
1301 Barbara Jordan Blvd, Ste 302, Austin, TX 78723-3077 | |
(512) 472-6134 | |
(512) 472-2928 |
Full Name | Dr Vani Sundaram Menon |
---|---|
Gender | Female |
Speciality | Urology - Pediatric Urology |
Location | 1301 Barbara Jordan Blvd, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538322748 | NPI | - | NPPES |
3592396-02 | Medicaid | TX | |
3592396-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2088P0231X | Urology - Pediatric Urology | Q8958 (Texas) | Primary |
208800000X | Urology | Q8958 (Texas) | Secondary |
Entity Name | Pediatric Urology Of Central Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508932112 PECOS PAC ID: 4587563887 Enrollment ID: O20040106000417 |
Entity Name | Magella Medical Associates Billing Inc |
---|---|
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 Vani Sundaram Menon, MD 1301 Barbara Jordan Blvd, Ste 302, Austin, TX 78723-3077 Ph: (512) 472-6134 | Dr Vani Sundaram Menon, MD 1301 Barbara Jordan Blvd, Ste 302, Austin, TX 78723-3077 Ph: (512) 472-6134 |
J Stuart Wolf Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1601 Trinity St, Bldg A, Suite 704f, Austin, TX 78712 Phone: 512-324-7871 Fax: 512-324-7870 | |
Parviz K Kavoussi, MD Urology Medicare: May Accept Medicare Assignments Practice Location: 4303 James Casey St, Suite B, Austin, TX 78745 Phone: 512-444-1414 Fax: 512-326-5319 | |
John Charles Williamson, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 4007 James Casey St, C150, Austin, TX 78745 Phone: 512-443-5988 Fax: 512-443-5055 | |
Win Shun Lai, MD Urology Medicare: Medicare Enrolled Practice Location: 7901 Metropolis Dr, Austin, TX 78744 Phone: 512-823-4745 | |
Dr. Joy Nielsen, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 12221 N Mo Pac Expy, Austin, TX 78758 Phone: 512-901-4021 Fax: 512-901-3921 | |
James Franklin Reeves, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 3100 Red River St, Austin, TX 78705 Phone: 512-477-5905 Fax: 512-477-8640 | |
Dr. Melody Ann Denson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 15534 Ranch Road 620 N Ste 100, Austin, TX 78717 Phone: 512-231-1444 Fax: 512-828-5511 |