Dr Shine John, DPM | |
11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 | |
(512) 399-5711 | |
(512) 399-5707 |
Full Name | Dr Shine John |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 19 Years |
Location | 11614 Fm 2244 Rd Ste 150, Austin, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245407295 | NPI | - | NPPES |
016005365 | Other | IL | IL STATE LICENSE |
1910 | Other | TX | STATE OF TEXAS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 016005365 (Illinois) | Secondary |
213E00000X | Podiatrist | 1910 (Texas) | Secondary |
213ES0103X | Podiatrist - Foot & Ankle Surgery | 1910 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Privia Medical Group Gulf Coast Pllc | 4688999022 | 397 |
Provider Name | Capital Foot & Ankle Surgeons Of Austin, Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003147356 PECOS PAC ID: 4082740477 Enrollment ID: O20100324000763 |
Provider Name | Privia Medical Group Gulf Coast Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578969465 PECOS PAC ID: 4688999022 Enrollment ID: O20150206000763 |
Mailing Address | Practice Location Address |
---|---|
Dr Shine John, DPM 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 Ph: (512) 399-5711 | Dr Shine John, DPM 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 Ph: (512) 399-5711 |
Capital Foot & Ankle Surgeons Of Austin, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 900 E 30th St, 311, Austin, TX 78705 Phone: 512-474-6666 Fax: 512-474-6668 | |
Mr. Joseph Harold Snowden, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 911 W 38th St Ste 300, Austin, TX 78705 Phone: 512-439-1000 | |
Vikas A Godhania, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6811 Austin Center Blvd # 300, Austin, TX 78731 Phone: 512-346-8888 Fax: 512-344-0365 | |
J Michael Valenza, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Cave Rd, Ste D204, Austin, TX 78746 Phone: 512-327-9251 Fax: 512-327-9742 | |
Angela L Drury Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2312 Western Trails, Suite 103, Austin, TX 78745 Phone: 512-382-0773 Fax: 512-382-0072 | |
Dr. Anne Compeau Ames, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 W 38th St, Suite 707, Austin, TX 78705 Phone: 512-407-8188 Fax: 512-459-1190 | |
Angela L Drury, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2312 Western Trails Blvd, Suite 103, Austin, TX 78745 Phone: 512-382-0773 Fax: 512-382-0772 |