Elaine Hernandez, | |
Brooke Army Medical Center, 3551 Roger Brooke Road, Fort Sam Houston, TX 78234-4504 | |
(210) 916-8400 | |
Not Available |
Full Name | Elaine Hernandez |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | Brooke Army Medical Center, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841492600 | NPI | - | NPPES |
10004769 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1325-033 (Wisconsin) | Primary |
Entity Name | Aurora Advanced Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Elaine Hernandez, 106 Neal Ave, San Antonio, TX 78214-1234 Ph: (608) 381-5718 | Elaine Hernandez, Brooke Army Medical Center, 3551 Roger Brooke Road, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-8400 |
Chikwelu Christian Umeh, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141 | |
Anastasiya Zemtsova, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500 | |
Cathy Darlene Cotton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-2460 | |
Jessa Perry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Leanne Putnam, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Allen Ward Magnone, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141 | |
Julia M Ceremuga, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-5554 Fax: 210-916-2121 |