Mary Elizabeth Porisch, MD | |
4499 Medical Dr, Suite 272, San Antonio, TX 78229-3735 | |
(210) 614-3264 | |
(210) 615-0888 |
Full Name | Mary Elizabeth Porisch |
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Gender | Female |
Speciality | Pediatric Medicine |
Experience | 32 Years |
Location | 4499 Medical Dr, San Antonio, 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 |
---|---|---|---|
1790741254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080P0202X | Pediatrics - Pediatric Cardiology | L0907 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Children's Physician Services Of South Texas | 3678478872 | 40 |
Entity Name | Children's Physician Services Of South Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
Entity Name | Magella Medical Associates Billing Inc |
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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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Mary Elizabeth Porisch, MD 1510 Belclaire, San Antonio, TX 78258-4493 Ph: (210) 292-6635 | Mary Elizabeth Porisch, MD 4499 Medical Dr, Suite 272, San Antonio, TX 78229-3735 Ph: (210) 614-3264 |
Sarah Haley Gross, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 14615 San Pedro Ave Ste 218-220, San Antonio, TX 78232 Phone: 210-644-3650 Fax: 210-702-6979 | |
Dr. Wilson Wayne Grant, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5282 Medical Dr, Ste 310, San Antonio, TX 78229 Phone: 210-614-8687 Fax: 210-614-7529 | |
Dr. Jane T Atkins, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7922 Ewing Halsell Dr, Suite 270, San Antonio, TX 78229 Phone: 210-614-2828 Fax: 210-614-2558 | |
Pedro Nelson Chavez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 Madison Oak Dr, Suite 103, San Antonio, TX 78258 Phone: 210-297-8640 Fax: 210-297-8640 | |
Dr. Jose F Pascual-baralt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7419 Round Mtn, San Antonio, TX 78255 Phone: 210-695-2906 | |
Mr. Byron Scott Dooley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 525 Oak Centre, Suite 350, San Antonio, TX 78258 Phone: 210-297-4560 Fax: 210-297-0451 | |
Dr. Elizabeth Christiane Diltz Menking, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7700 Floyd Curl, San Antonio, TX 78229 Phone: 210-871-4409 Fax: 210-524-9599 |