| Patrick S. Skulemowski, Do , Pa | |
|
585 W Jefferson St Brownsville TX 78520-6333 | |
| (956) 554-9722 | |
| (956) 554-9939 |
| Full Name | Patrick S. Skulemowski, Do , Pa |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 585 W Jefferson St, Brownsville, Texas |
| Authorized Official Name and Position | Patrick S Skulemowski (PHYSICIAN) |
| Authorized Official Contact | 9565549722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick S. Skulemowski, Do , Pa Po Box 5395 Brownsville TX 78523-5395 Ph: (956) 554-9722 | Patrick S. Skulemowski, Do , Pa 585 W Jefferson St Brownsville TX 78520-6333 Ph: (956) 554-9722 |
| NPI Number | 1003130899 |
|---|---|
| Provider Enumeration Date | 03/23/2010 |
| Last Update Date | 06/12/2024 |
| Medicare PECOS PAC ID | 3577694066 |
|---|---|
| Medicare Enrollment ID | O20100628000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003130899 | NPI | - | NPPES |
| 1003130899 | Other | TX | MCR GRP NPI |
| 220676504 | Medicaid | TX | |
| 220676501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | (* (Not Available)) | Primary |
| Provider Name | Patrick Stanely Skulemowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629045000 PECOS PAC ID: 0840198453 Enrollment ID: I20031220000073 |
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