Mr Italo Augusto Samano, PHD | |
4242 Medical Dr, Suite 6300, San Antonio, TX 78229-5640 | |
(210) 614-8400 | |
(210) 614-8165 |
Full Name | Mr Italo Augusto Samano |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 36 Years |
Location | 4242 Medical Dr, San Antonio, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770530974 | NPI | - | NPPES |
151188301 | Other | TX | MEDICAID GROUP |
128813606 | Medicaid | TX | |
01-0624198 | Other | TX | TAX ID # FOR GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 23724 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Progressive Behavioral Health, Pllc | 4486794906 | 153 |
Entity Name | Progressive Behavioral Health, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
Mailing Address | Practice Location Address |
---|---|
Mr Italo Augusto Samano, PHD 3019 Fall Way Dr, San Antonio, TX 78247-3233 Ph: (210) 495-6346 | Mr Italo Augusto Samano, PHD 4242 Medical Dr, Suite 6300, San Antonio, TX 78229-5640 Ph: (210) 614-8400 |
Dr. Trudi Zaplac, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8626 Tesoro Dr Ste 490, San Antonio, TX 78217 Phone: 210-202-0100 | |
Joshua D Essery, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8535 Tom Slick, San Antonio, TX 78229 Phone: 210-616-0300 | |
Dr. Jesus Aranda-cano, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Rd, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700 | |
Dr. Nancy Sylvia L. Witt, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240 Phone: 210-615-3483 Fax: 210-593-9863 | |
Dr. David R Zimmermann, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 616 W Russell Pl, San Antonio, TX 78212 Phone: 800-257-8715 Fax: 800-819-1655 | |
Russel L Thompson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Road, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700 Fax: 210-587-2454 | |
Jennifer Cleveland, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 614 Walnut Hill St, San Antonio, TX 78232 Phone: 917-774-1335 |