Mary V Mirto, DO | |
2608 Brockton Dr, Austin, TX 78758-4414 | |
(512) 654-4050 | |
(512) 654-4051 |
Full Name | Mary V Mirto |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 31 Years |
Location | 2608 Brockton Dr, 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 |
---|---|---|---|
1861403917 | NPI | - | NPPES |
153610401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | L1674 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
Baylor Scott & White Medical Center - Round Rock | Round rock, TX | Hospital |
Baylor Scott & White Medical Center Pflugerville | Pflugerville, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Entity Name | Scott & White Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Entity Name | Mary V Mirto Do Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023291028 PECOS PAC ID: 4789627449 Enrollment ID: O20050603000922 |
Mailing Address | Practice Location Address |
---|---|
Mary V Mirto, DO Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Mary V Mirto, DO 2608 Brockton Dr, Austin, TX 78758-4414 Ph: (512) 654-4050 |
Dr. Chris C Hart, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9805 Brodie Ln, Austin, TX 78748 Phone: 512-462-1936 Fax: 512-394-9388 | |
Dr. Robert C Johnston, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 12200 Renfert Way Ste G-3, Austin, TX 78758 Phone: 512-821-2540 Fax: 512-973-3533 | |
Dr. Keikhosrow M Kavoussi, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4303 James Casey St, Suite A, Austin, TX 78745 Phone: 512-444-1414 Fax: 512-444-5621 | |
Dr. Andrea L. Campaigne, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12201 Renfert Way Ste 250, Austin, TX 78758 Phone: 512-994-2662 Fax: 512-406-6202 | |
Jonathan Edmond Pepper, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6611 River Place Blvd Ste 202, Austin, TX 78730 Phone: 512-473-8300 | |
Akua Tiwaa Afriyie-gray, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1301 Barbara Jordan Blvd Ste 303, Austin, TX 78723 Phone: 512-324-0970 | |
Mr. Sasan Askari, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4007 James Casey St, Suite A-250, Austin, TX 78745 Phone: 512-444-2111 Fax: 512-444-2114 |