| Andrew Hume, MD | |
|
102 N Magdalen St, San Angelo, TX 76903-5400 | |
| (325) 658-1511 | |
| (325) 481-2165 |
| Full Name | Andrew Hume |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 37 Years |
| Location | 102 N Magdalen St, San Angelo, 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 |
|---|---|---|---|
| 1063435915 | NPI | - | NPPES |
| 115391802 | Medicaid | TX | |
| 827040 | Other | TX | AUSTIN BCBS PROVIDER NO |
| 85007X | Other | TX | SAN ANGELO BCBS PROV NO |
| 741796484 | Other | TX | TAX ID NO |
| 82Z040 | Other | TX | MEDICARE AUSTIN ID NUMBER |
| 85007X | Other | TX | BCBS SAN ANGELO ID NUMBER |
| 82Z040 | Other | TX | BCBS AUSTIN ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | J1268 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Medical Center | San angelo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Hume, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Andrew Hume, MD 102 N Magdalen St, San Angelo, TX 76903-5400 Ph: (325) 658-1511 |
Charles A Marsh, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 | |
Jason E Felger, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511 | |
Denver C Marsh Jr., MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 102 N Magdalen St, San Angelo, TX 76903 Phone: 325-658-1511 |