| Senior Adults Specialty Healthcare Pa | |
|
3215 Steck Ave Suite 200 Austin TX 78757-7566 | |
| (512) 476-3556 | |
| (512) 476-0195 |
| Full Name | Senior Adults Specialty Healthcare Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3215 Steck Ave, Austin, Texas |
| Authorized Official Name and Position | Jaron L Winston (OWNER) |
| Authorized Official Contact | 5124763556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Adults Specialty Healthcare Pa 3215 Steck Ave Suite 200 Austin TX 78757-7566 Ph: (512) 476-3556 | Senior Adults Specialty Healthcare Pa 3215 Steck Ave Suite 200 Austin TX 78757-7566 Ph: (512) 476-3556 |
| NPI Number | 1639170541 |
|---|---|
| Provider Enumeration Date | 08/02/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 5294624516 |
|---|---|
| Medicare Enrollment ID | O20040315000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639170541 | NPI | - | NPPES |
| 260034279 | Other | TX | RAILROAD MEDICARE |
| 080136702 | Medicaid | TX | |
| 0019BV | Other | TX | BLUE CROSS |
| Provider Name | John A Bertelson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215959697 PECOS PAC ID: 5799698460 Enrollment ID: I20031110000014 |
| Provider Name | Cherie E Simpson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720030307 PECOS PAC ID: 2264467497 Enrollment ID: I20050927000927 |
| Provider Name | Robert J Buchanan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1134236102 PECOS PAC ID: 3173504693 Enrollment ID: I20061206000555 |
| Provider Name | William D Mcfarland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477794899 PECOS PAC ID: 2769538057 Enrollment ID: I20090929000435 |
| Provider Name | Michael L Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174583249 PECOS PAC ID: 6103966742 Enrollment ID: I20091212000070 |
| Provider Name | Shealyn Cyr |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861406480 PECOS PAC ID: 1153453048 Enrollment ID: I20100712000486 |
| Provider Name | Jaron L Winston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568463420 PECOS PAC ID: 9638104862 Enrollment ID: I20100831000837 |
| Provider Name | Laura L Eisenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285635706 PECOS PAC ID: 9234321019 Enrollment ID: I20101012000808 |
| Provider Name | Holly S Cross |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811292212 PECOS PAC ID: 9032395322 Enrollment ID: I20110523000191 |
| Provider Name | Eduardo A Maraboto |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1174871339 PECOS PAC ID: 5395993596 Enrollment ID: I20120913000032 |
| Provider Name | Martha E Quinton |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1043734734 PECOS PAC ID: 7214200674 Enrollment ID: I20170906002591 |
| Provider Name | Anne E Handley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841851656 PECOS PAC ID: 5698006765 Enrollment ID: I20191004000613 |
| Provider Name | Megan K Quint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508416520 PECOS PAC ID: 6002148830 Enrollment ID: I20191029001459 |
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