| Anew Era Tms & Psychiatry Of Texas, Pa | |
|
8140 N Mopac Expressway Building 3 Ste 150 Austin TX 78759-7875 | |
| (714) 828-1800 | |
| (714) 882-1186 |
| Full Name | Anew Era Tms & Psychiatry Of Texas, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8140 N Mopac Expressway, Austin, Texas |
| Authorized Official Name and Position | Magdalen Gustilo (DIRECTOR OF PAYER RELATIONS) |
| Authorized Official Contact | 7145687667 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anew Era Tms & Psychiatry Of Texas, Pa 18401 Von Karman Ave Ste 500 Irvine CA 92612-8531 Ph: (714) 828-1800 | Anew Era Tms & Psychiatry Of Texas, Pa 8140 N Mopac Expressway Building 3 Ste 150 Austin TX 78759-7875 Ph: (714) 828-1800 |
| NPI Number | 1033710892 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 9638579758 |
|---|---|
| Medicare Enrollment ID | O20210611000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033710892 | NPI | - | NPPES |
| Provider Name | Sue Y Roh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619360310 PECOS PAC ID: 2961770318 Enrollment ID: I20170608000591 |
| Provider Name | Teresa J Rauschuber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457813032 PECOS PAC ID: 1850625492 Enrollment ID: I20190702000127 |
| Provider Name | Audrey Marian Addaquay-corey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710353651 PECOS PAC ID: 7618260951 Enrollment ID: I20190822001737 |
| Provider Name | Barbara Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083864268 PECOS PAC ID: 1759503279 Enrollment ID: I20210503000144 |
| Provider Name | Terry Van Eagan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538490123 PECOS PAC ID: 3971863325 Enrollment ID: I20210611000233 |
| Provider Name | Emmanuel Varghese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881278141 PECOS PAC ID: 1456755271 Enrollment ID: I20210802000870 |
| Provider Name | Doris Cudjoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669098356 PECOS PAC ID: 6305240169 Enrollment ID: I20210802002446 |
| Provider Name | Rhoda Madamombe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477131415 PECOS PAC ID: 5193129641 Enrollment ID: I20210806000023 |
| Provider Name | Nadia Bening |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043471360 PECOS PAC ID: 3476959412 Enrollment ID: I20210831001186 |
| Provider Name | Tania S Bradkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053954636 PECOS PAC ID: 3577951870 Enrollment ID: I20211019000795 |
| Provider Name | Kimberly Faye Sennet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750658795 PECOS PAC ID: 9436318706 Enrollment ID: I20211206002843 |
| Provider Name | Perry Chase Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023681608 PECOS PAC ID: 9335530310 Enrollment ID: I20211230000508 |
| Provider Name | Ugochi Rufus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518545409 PECOS PAC ID: 7517359730 Enrollment ID: I20220120002525 |
| Provider Name | Ashley Partain Gilmore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891297503 PECOS PAC ID: 0244627842 Enrollment ID: I20220429000980 |
| Provider Name | Amanda Dawn Dush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497358105 PECOS PAC ID: 3779961610 Enrollment ID: I20220603002349 |
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