Ireal Johnson Fusco, MD | |
4900 Mueller Blvd, C/o Dell Children's Pem Fellowship, Austin, TX 78723-3079 | |
(512) 324-0093 | |
Not Available |
Full Name | Ireal Johnson Fusco |
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Gender | Female |
Speciality | Pediatric Medicine |
Experience | 10 Years |
Location | 4900 Mueller Blvd, Austin, 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 |
---|---|---|---|
1750791117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | R2369 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Children's Hospital | 3971401944 | 26 |
Entity Name | Children's Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043230873 PECOS PAC ID: 3971401944 Enrollment ID: O20031229000715 |
Entity Name | Childrens Hospital Medical Practice Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821090713 PECOS PAC ID: 5597944579 Enrollment ID: O20110124000073 |
Entity Name | Wjh Physician Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417966193 PECOS PAC ID: 0941510986 Enrollment ID: O20151104000267 |
Mailing Address | Practice Location Address |
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Ireal Johnson Fusco, MD 3100 Sw 62nd Ave, Miami, FL 33155-3009 Ph: () - | Ireal Johnson Fusco, MD 4900 Mueller Blvd, C/o Dell Children's Pem Fellowship, Austin, TX 78723-3079 Ph: (512) 324-0093 |
Dr. Lorraine E. Powell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1912 W 35th St, Austin, TX 78703 Phone: 512-451-5161 Fax: 512-451-1258 | |
Alyssa Walden, Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 N. I-35, Suite 770, Austin, TX 78705 Phone: 478-301-2600 | |
Dr. Anusha Chinthaparthi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9835 N Lake Creek Pkwy, Austin, TX 78717 Phone: 832-826-1380 Fax: 832-825-2799 | |
Elizabeth C. Knapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6835 Austin Center Blvd, Austin, TX 78731 Phone: 512-346-6611 Fax: 512-231-5204 | |
Scott A Broberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3816 S.1st St., Austin, TX 78704 Phone: 512-443-1311 Fax: 512-406-6266 | |
Roozbeh Taeed, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4900 Mueller Blvd # 2h.012c, Austin, TX 78723 Phone: 512-324-3360 Fax: 512-380-7532 | |
Dr. Jon Mazursky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1015 E 32nd St, Suite #405, Austin, TX 78705 Phone: 512-476-0895 Fax: 512-476-0898 |