Jibie Mathew, CAA | |
12222 Merit Dr Ste 600, Dallas, TX 75251-3294 | |
(972) 715-5000 | |
(972) 715-9976 |
Full Name | Jibie Mathew |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 8 Years |
Location | 12222 Merit Dr Ste 600, Dallas, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578006292 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 4036 (Kentucky) | Secondary |
367H00000X | Anesthesiologist Assistant | (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Houston Methodist St John Hospital | Nassau bay, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
U S Anesthesia Partners Of Texas, Pa | 7315850351 | 2379 |
Entity Name | U S Anesthesia Partners Of Texas, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
Entity Name | Space City Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235328253 PECOS PAC ID: 8628154416 Enrollment ID: O20080319000229 |
Mailing Address | Practice Location Address |
---|---|
Jibie Mathew, CAA Po Box 840853, Dallas, TX 75284-1705 Ph: (972) 233-1999 | Jibie Mathew, CAA 12222 Merit Dr Ste 600, Dallas, TX 75251-3294 Ph: (972) 715-5000 |
Brooke Morales, AA C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
S Charles Bennett Iv, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Thu Pham, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Vyacheslav B Golubov, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Kyle Mericle, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976 | |
Ma Thinzar Win, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 12222 Merit Dr Ste 600, Dallas, TX 75251 Phone: 972-715-5000 Fax: 972-715-9976 | |
Courtney Graff, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 6606 Lbj Fwy Ste 200, Dallas, TX 75240 Phone: 972-715-5000 Fax: 972-715-9976 |