- Medicare Primary Care in San Antonio, TX

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is a medicare enrolled primary clinic (Clinic/center) in San Antonio, Texas. The current practice location for is 2520 Broadway St, Suite 100, San Antonio, Texas. For appointments, you can reach them via phone at (210) 595-1019. The mailing address for is 2520 Broadway Street, Suite 100, San Antonio, Texas and phone number is (210) 595-1019.

is licensed to practice in Texas (license number J6466). The clinic also participates in the medicare program and its NPI number is 1184894701. 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) 595-1019.

Contact Information

2520 Broadway St
Suite 100
San Antonio
TX 78215-1004
(210) 595-1019
(210) 251-3194

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location2520 Broadway St, San Antonio, Texas
Authorized Official Name and PositionBernice Gonzalez (PRESIDENT)
Authorized Official Contact2105951019
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2520 Broadway Street
Suite 100
San Antonio
TX 78215

Ph: (210) 595-1019
2520 Broadway St
Suite 100
San Antonio
TX 78215-1004

Ph: (210) 595-1019

NPI Details:

NPI Number1184894701
Provider Enumeration Date03/11/2008
Last Update Date05/08/2013

Medicare PECOS Information:

Medicare PECOS PAC ID5698085769
Medicare Enrollment IDO20151103000520

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184894701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center J6466 (Texas)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 NameBernice Gonzalez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184622904
PECOS PAC ID: 7810096351
Enrollment ID: I20070623000073
Provider NameAdrienne W Askew
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1861699456
PECOS PAC ID: 4789749250
Enrollment ID: I20090217000289
Provider NameMarcela Riojas
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1841456332
PECOS PAC ID: 8325229586
Enrollment ID: I20110221000730
Provider NameAimee A Oliver
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306823505
PECOS PAC ID: 9133164221
Enrollment ID: I20120712000392
Provider NameJose O Seda
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1811124993
PECOS PAC ID: 3072759117
Enrollment ID: I20130417000040
Provider NameStephanie Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083810972
PECOS PAC ID: 5597907758
Enrollment ID: I20130819000164
Provider NameShauna Lyn
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1437214624
PECOS PAC ID: 7214248038
Enrollment ID: I20150622000363
Provider NameJennifer Leigh Perez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437309911
PECOS PAC ID: 8921320409
Enrollment ID: I20150729007528
Provider NameNathaniel G Cervantes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003287301
PECOS PAC ID: 0749571636
Enrollment ID: I20160825002354
Provider NameDale K Conover
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568904852
PECOS PAC ID: 5496036410
Enrollment ID: I20170106000793
Provider NameMaria D Ortiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538603899
PECOS PAC ID: 6204119472
Enrollment ID: I20180122000582
Provider NameCristobal G Garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548769052
PECOS PAC ID: 5395008627
Enrollment ID: I20180418002356
Provider NameDawn S Olynyk-katan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730673781
PECOS PAC ID: 7810248390
Enrollment ID: I20180921001905
Provider NameRochele M Nicolas-wedige
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164750410
PECOS PAC ID: 6507106184
Enrollment ID: I20190318001889
Provider NameSherry E Webber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154985646
PECOS PAC ID: 3274952122
Enrollment ID: I20200928000952
Provider NameTiara Davison
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720720071
PECOS PAC ID: 1355615329
Enrollment ID: I20220813000260
Provider NameMichelle Gray
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336735240
PECOS PAC ID: 7810371838
Enrollment ID: I20220825000141
Provider NameBriana Patricia Randolph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093412900
PECOS PAC ID: 3971977265
Enrollment ID: I20230328003082
Provider NameYainer Rodriguez Delgado
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548898950
PECOS PAC ID: 1153770029
Enrollment ID: I20231218003048

Reviews and Comments


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Phone: 832-331-9831    Fax: 210-855-8365

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.