| Antonella Casola, MD | |
|
301 University Blvd, Galveston, TX 77555-1022 | |
| (409) 772-0817 | |
| (409) 772-0885 |
| Full Name | Antonella Casola |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 36 Years |
| Location | 301 University Blvd, Galveston, 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 |
|---|---|---|---|
| 1194817965 | NPI | - | NPPES |
| 168770901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | L8299 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Texas Medical Branch Galveston | Galveston, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utmb Faculty Group Practice | 3375456734 | 948 |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Antonella Casola, MD 301 University Blvd, Galveston, TX 77555-1022 Ph: (409) 772-0817 | Antonella Casola, MD 301 University Blvd, Galveston, TX 77555-1022 Ph: (409) 772-0817 |
Dr. Ann Blakley, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3695 Fax: 832-340-2350 | |
Stephanie Therese Chung, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Oscar W. Brown, Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3303 Fax: 409-747-4995 | |
David P Mccormick, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Rt 1022, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Akila Muthukumar, M.D., Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 | |
Dr. Chanthu Pillai, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-3365 Fax: 409-747-2213 | |
Shivaiah Balachandra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2222 |