| Shiner Medical Llp | |
|
124 E Wolters Shiner TX 77984 | |
| (361) 594-3824 | |
| (361) 594-3854 |
| Full Name | Shiner Medical Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 124 E Wolters, Shiner, Texas |
| Authorized Official Name and Position | Cynthia Jahn (BUSINESS MANAGER) |
| Authorized Official Contact | 3615943824 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiner Medical Llp Po Box 965 Shiner TX 77984-0965 Ph: (361) 594-3824 | Shiner Medical Llp 124 E Wolters Shiner TX 77984 Ph: (361) 594-3824 |
| NPI Number | 1376028019 |
|---|---|
| Provider Enumeration Date | 09/28/2018 |
| Last Update Date | 09/28/2018 |
| Medicare PECOS PAC ID | 0244579761 |
|---|---|
| Medicare Enrollment ID | O20190228000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376028019 | NPI | - | NPPES |
| 135624802 | Medicaid | TX | |
| 379626001 | Medicaid | TX | |
| 037427402 | Medicaid | TX | |
| 138955307 | Medicaid | TX | |
| 138955301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ralph A Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447231881 PECOS PAC ID: 3173510526 Enrollment ID: I20100105000016 |
| Provider Name | Marshall C Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821079260 PECOS PAC ID: 1355338807 Enrollment ID: I20100324000282 |
| Provider Name | Timothy J Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851372619 PECOS PAC ID: 8628065075 Enrollment ID: I20100614000054 |
Drs Wagner & Wagner Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 E Wolters 2nd, Shiner, TX 77984 Phone: 361-594-3824 Fax: 361-594-4104 | |
Sievers Medical Clinic - Shiner Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 West 7th Street, Shiner, TX 77984 Phone: 361-239-5015 Fax: 830-672-8481 | |
Wagner Medical Clinic L.l.p. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 124 E Wolters 2nd, Shiner, TX 77984 Phone: 361-594-3824 |