| Anthony Christopher Damico, DO | |
|
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
| (210) 292-6255 | |
| (210) 292-7934 |
| Full Name | Anthony Christopher Damico |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700389087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 77511 (Connecticut) | Primary |
| Entity Name | State Of Connecticut |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881629434 PECOS PAC ID: 8022915677 Enrollment ID: O20041227000221 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Christopher Damico, DO 367 Orange St Apt 631, New Haven, CT 06511-6464 Ph: (630) 770-7240 | Anthony Christopher Damico, DO 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-6255 |
Michell Alexandre Llerena, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-997-2060 | |
Dr. Cecil Lynn Roberts Jr., MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-7361 | |
Dr. Rohini Mehta, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4277 | |
Nikaury Rivera Antongiorgi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1100 Willford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 956-794-3297 | |
Dr. Nathan Charles Hines, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7361 | |
Dr. Belinda Lee Kelly, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-7749 | |
Stephen Erlach, MD JD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-7361 |