Jason Adam Jacque, MD | |
5245 W Highway 290, Austin, TX 78735-8963 | |
(512) 654-2100 | |
(512) 654-2101 |
Full Name | Jason Adam Jacque |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 5245 W Highway 290, 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 |
---|---|---|---|
1255678975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | Q8915 (Texas) | Primary |
Entity Name | Scott & White Hospital - Taylor |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659548568 PECOS PAC ID: 1456246750 Enrollment ID: O20040217000059 |
Entity Name | E-merge Physicians, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144649252 PECOS PAC ID: 3779707765 Enrollment ID: O20140613000297 |
Entity Name | Century Integrated Partners, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
Mailing Address | Practice Location Address |
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Jason Adam Jacque, MD Po Box 840003, Dallas, TX 75284-0003 Ph: (254) 724-2111 | Jason Adam Jacque, MD 5245 W Highway 290, Austin, TX 78735-8963 Ph: (512) 654-2100 |
Dr. Suprina Dorai, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8721 Menchaca Rd, Austin, TX 78748 Phone: 512-280-6959 | |
Nicole Maree Hotchkiss, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6300 La Calma Dr Ste 200, Austin, TX 78752 Phone: 512-452-8533 | |
Dr. Gurpreet Basraon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12201 Renfert Way Ste 105, Austin, TX 78758 Phone: 877-800-5722 | |
Kimberly Snyder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12221 N. Mopac Expressway, Austin, TX 78758 Phone: 512-901-1000 | |
Rex E. Medford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Ronald S. Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Eric A Higginbotham, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8611 N Mopac Expy # 300, Austin, TX 78759 Phone: 737-220-8200 |