Mary Beth Madonna, MD | |
333 N Santa Rosa, San Antonio, TX 78207-3108 | |
(210) 704-4100 | |
Not Available |
Full Name | Mary Beth Madonna |
---|---|
Gender | Female |
Speciality | Surgery - Pediatric Surgery |
Location | 333 N Santa Rosa, 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 |
---|---|---|---|
1265427108 | NPI | - | NPPES |
036083049 | Medicaid | IL | |
1627123 | Other | IL | BCBS PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0120X | Surgery - Pediatric Surgery | 036-083049 (Illinois) | Secondary |
2086S0120X | Surgery - Pediatric Surgery | U0254 (Texas) | Primary |
Entity Name | Rockford Health Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
Entity Name | Rush University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093819542 PECOS PAC ID: 5496658874 Enrollment ID: O20040202000228 |
Entity Name | Childrens Surgical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356394217 PECOS PAC ID: 6406747179 Enrollment ID: O20040323000088 |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Entity Name | Rush University Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538135819 PECOS PAC ID: 0446208961 Enrollment ID: O20050111000400 |
Entity Name | Shriners Hospitals For Children |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871930693 PECOS PAC ID: 9133031933 Enrollment ID: O20131009001351 |
Mailing Address | Practice Location Address |
---|---|
Mary Beth Madonna, MD 333 N Santa Rosa, San Antonio, TX 78207-3108 Ph: (210) 704-4100 | Mary Beth Madonna, MD 333 N Santa Rosa, San Antonio, TX 78207-3108 Ph: (210) 704-4100 |
Anas Mouchli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr # Mc7742, San Antonio, TX 78229 Phone: 210-567-5711 | |
Dr. Agustin Cornejo Esquerra, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 311 Camden St Ste 409, San Antonio, TX 78215 Phone: 210-228-9605 Fax: 210-228-9632 | |
Dr. Robert P Thomas, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4499 Medical Dr, Suite 347, San Antonio, TX 78229 Phone: 210-615-8757 Fax: 210-615-8789 | |
Grant Harrison Gershner, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-7000 | |
Dr. Donald Howard Jenkins, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 | |
Dr. Donald David Dilworth, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8715 Village Dr, Suite 608, San Antonio, TX 78217 Phone: 210-657-2100 Fax: 210-675-2110 | |
Marlin W Causey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3851 Roger Brooke Dr, San Antonio, TX 78234 Phone: 210-539-9360 |