| Allyson Borgstedte, DO | |
|
1 Saint Marks Pl, La Grange, TX 78945-1250 | |
| (904) 805-1300 | |
| (904) 805-1302 |
| Full Name | Allyson Borgstedte |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 1 Saint Marks Pl, La Grange, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942314588 | NPI | - | NPPES |
| 8S1503 | Other | TX | BCBS |
| P00233499 | Other | TX | RRMCR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | L6225 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St David's South Austin Medical Center | Austin, TX | Hospital |
| Seton Smithville Regional Hospital | Smithville, TX | Hospital |
| Ascension Seton Hays | Kyle, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Longhorn Emergency Medical Associates Pa | 4486971041 | 117 |
| Entity Name | Travis County Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Lone Star Emergency Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457709040 PECOS PAC ID: 7113054446 Enrollment ID: O20100419000563 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | Longhorn Emergency Medical Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
| Entity Name | Texas Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699288811 PECOS PAC ID: 0345508768 Enrollment ID: O20171212003035 |
| Mailing Address | Practice Location Address |
|---|---|
| Allyson Borgstedte, DO Po Box 863534, Orlando, FL 32886-3534 Ph: (904) 805-1300 | Allyson Borgstedte, DO 1 Saint Marks Pl, La Grange, TX 78945-1250 Ph: (904) 805-1300 |
Dr. Richard Hartin Jr., MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: One St. Mark's Place, St. Mark's Hospital, La Grange, TX 78945 Phone: 979-242-2333 Fax: 979-242-5171 | |
John Warren Edwards, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Saint Marks Pl, La Grange, TX 78945 Phone: 979-242-2200 |