Ross F Prochnow, MD | |
4515 Seton Center Pkwy #220, Austin, TX 78759-5784 | |
(512) 338-8388 | |
(512) 338-8465 |
Full Name | Ross F Prochnow |
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Gender | Male |
Speciality | Pediatrics |
Location | 4515 Seton Center Pkwy #220, 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 |
---|---|---|---|
1235144304 | NPI | - | NPPES |
122436207 | Medicaid | TX | |
122436205 | Medicaid | TX | |
122436203 | Medicaid | TX | |
122436208 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G6989 (Texas) | Secondary |
208000000X | Pediatrics | G6989 (Texas) | Primary |
Entity Name | Austin Regional Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
Mailing Address | Practice Location Address |
---|---|
Ross F Prochnow, MD Po Box 26726, Austin, TX 78755-0726 Ph: (512) 407-8686 | Ross F Prochnow, MD 4515 Seton Center Pkwy #220, Austin, TX 78759-5784 Ph: (512) 338-8388 |
Dr. Lorraine E. Powell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1912 W 35th St, Austin, TX 78703 Phone: 512-451-5161 Fax: 512-451-1258 | |
Alyssa Walden, Pediatrics Medicare: Medicare Enrolled Practice Location: 3000 N. I-35, Suite 770, Austin, TX 78705 Phone: 478-301-2600 | |
Dr. Anusha Chinthaparthi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9835 N Lake Creek Pkwy, Austin, TX 78717 Phone: 832-826-1380 Fax: 832-825-2799 | |
Elizabeth C. Knapp, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6835 Austin Center Blvd, Austin, TX 78731 Phone: 512-346-6611 Fax: 512-231-5204 | |
Scott A Broberg, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3816 S.1st St., Austin, TX 78704 Phone: 512-443-1311 Fax: 512-406-6266 | |
Roozbeh Taeed, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4900 Mueller Blvd # 2h.012c, Austin, TX 78723 Phone: 512-324-3360 Fax: 512-380-7532 | |
Dr. Jon Mazursky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1015 E 32nd St, Suite #405, Austin, TX 78705 Phone: 512-476-0895 Fax: 512-476-0898 |