<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 325 E Sonterra Blvd, Ste 200, San Antonio, Texas. For appointments, you can reach them via phone at (210) 402-3069. The mailing address for is Po Box 65071, San Antonio, Texas and phone number is (210) 402-3069.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1376980979. 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) 402-3069.

Contact Information


	325 E Sonterra Blvd Ste 200 San Antonio TX 78258-4054
	(210) 402-3069
	(210) 424-0631

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Internal Medicine
Location	325 E Sonterra Blvd, San Antonio, Texas
Authorized Official Name and Position	John Dickson (PRESIDENT)
Authorized Official Contact	2104023069
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 65071 San Antonio TX 78265-5071 Ph: (210) 402-3069	325 E Sonterra Blvd Ste 200 San Antonio TX 78258-4054 Ph: (210) 402-3069

NPI Details:

NPI Number	1376980979
Provider Enumeration Date	05/23/2013
Last Update Date	05/23/2013

Medicare PECOS Information:

Medicare PECOS PAC ID	8820228398
Medicare Enrollment ID	O20140228000790

Medical Identifiers

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

Identifier	Type	State	Issuer
1376980979	NPI	-	NPPES

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	John Dickson
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1154467116 PECOS PAC ID: 4587615885 Enrollment ID: I20050203000632

Provider Name	Elizabeth Mathes
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1417347659 PECOS PAC ID: 8729378278 Enrollment ID: I20160613000603

Reviews and Comments

Internal Medicine in San Antonio, TX

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- Medicare Primary Care in San Antonio, TX