Oliver John Mithoefer, MD | |
1201 W 38th St, Austin, TX 78705-1006 | |
(802) 233-6454 | |
Not Available |
Full Name | Oliver John Mithoefer |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1201 W 38th St, 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 |
---|---|---|---|
1205450178 | NPI | - | NPPES |
84280 | Other | SC | SOUTH CAROLINA BOARD OF MEDICAL EXAMINERS |
LL84280 | Other | SC | SOUTH CAROLINA BOARD OF MEDICAL EXAMINERS LIMITED LICENSE |
V0479 | Other | TX | TEXAS MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | LL84280 (South Carolina) | Secondary |
207R00000X | Internal Medicine | V0479 (Texas) | Primary |
Entity Name | 24 On Physicians Of Sc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144877655 PECOS PAC ID: 5890127344 Enrollment ID: O20191121001203 |
Mailing Address | Practice Location Address |
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Oliver John Mithoefer, MD 1201 W 38th St, Austin, TX 78705-1006 Ph: () - | Oliver John Mithoefer, MD 1201 W 38th St, Austin, TX 78705-1006 Ph: (802) 233-6454 |
Dr. Tatiana B. Jacobson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd. Bldg C Ste. 102, Austin, TX 78746 Phone: 512-323-5465 Fax: 512-327-1390 | |
Preeti Venkatraman, M.B.B.S. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 E 15th St, Austin, TX 78701 Phone: 512-324-7000 | |
Pritesh Harish Gandhi, M.D., M.P.H. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1101 Camino La Costa, Austin, TX 78752 Phone: 512-684-1832 | |
Dr. Joshua Lane Davis, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1004 W 32nd St Unit 300, Austin, TX 78705 Phone: 512-324-3440 | |
Dr. Grace Marie Grant-jennings, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7000 North Mopac, Suite # 420, Austin, TX 78731 Phone: 512-482-0045 Fax: 512-476-9892 | |
Dr. Debra Ann Patt, MD, MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6204 Balcones Dr, Austin, TX 78731 Phone: 512-427-9400 Fax: 512-342-2723 | |
Dr. Matthew Morris Medlock, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 6233 Carrington Dr, Austin, TX 78749 Phone: 512-293-0247 |