<unavail> in San Antonio, TX - Medicare Internal Medicine

is a medicare enrolled primary clinic (Internal Medicine) in San Antonio, Texas. The current practice location for is 6100 Bandera Road, Suite 403, San Antonio, Texas. For appointments, you can reach them via phone at (210) 256-9500. The mailing address for is 6100 Bandera Road, Suite 403, San Antonio, Texas and phone number is (210) 256-9500.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1508069840. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (210) 256-9500.

Contact Information


	6100 Bandera Road Suite 403 San Antonio TX 78238-1653
	(210) 256-9500
	(210) 256-8720

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	6100 Bandera Road, San Antonio, Texas
Authorized Official Name and Position	Melissa K Souhrada (OFFICE MANAGER)
Authorized Official Contact	2102569500
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
6100 Bandera Road Suite 403 San Antonio TX 78238-1653 Ph: (210) 256-9500	6100 Bandera Road Suite 403 San Antonio TX 78238-1653 Ph: (210) 256-9500

NPI Details:

NPI Number	1508069840
Provider Enumeration Date	06/06/2007
Last Update Date	07/02/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	1456420181
Medicare Enrollment ID	O20080520000835

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508069840	NPI	-	NPPES
00Z061	Other	TX	MEDICARE GROUP PTAN
00Z061	Other	TX	MEDICARE INDIVIDUAL PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Kathleen J Lyssy
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1831182005 PECOS PAC ID: 5698798247 Enrollment ID: I20060110000108

Reviews and Comments

Internal Medicine in San Antonio, TX

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- Medicare Primary Care in San Antonio, TX