| Aurora Mary Mignosa, MD | |
|
301 Londonderry Dr, Waco, TX 76712-7915 | |
| (254) 751-4880 | |
| (254) 751-4885 |
| Full Name | Aurora Mary Mignosa |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 301 Londonderry Dr, Waco, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417038175 | NPI | - | NPPES |
| 084249401 | Medicaid | TX | |
| 00N59X | Other | TX | BCBS TX |
| 182846902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 2024034855 (Missouri) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M3324 (Texas) | Primary |
| Entity Name | Ts Telepsychiatry Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134790058 PECOS PAC ID: 0941698070 Enrollment ID: O20211208003708 |
| Mailing Address | Practice Location Address |
|---|---|
| Aurora Mary Mignosa, MD Po Box 18962, Belfast, ME 04915-4084 Ph: (800) 566-5050 | Aurora Mary Mignosa, MD 301 Londonderry Dr, Waco, TX 76712-7915 Ph: (254) 751-4880 |
Dr. Jean Nerva Dortilus, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3500 Hillcrest Dr Ste 7, Waco, TX 76708 Phone: 254-424-9523 | |
Stephen G Howlett, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 405 Londonderry Dr, Suite 301b, Waco, TX 76712 Phone: 254-756-6875 Fax: 254-756-1334 | |
Dr. Helen Ann Short, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3501 N 19th St, Waco, TX 76708 Phone: 254-745-5105 | |
Lance G Oberg, M. D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7300 Bosque Blvd., Waco, TX 76710 Phone: 254-202-2600 Fax: 254-202-2650 | |
Dahlia Garces, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-297-3240 | |
Geoffrey May, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Drive (151c), Waco, TX 76711 Phone: 231-679-0776 | |
Lisa Lynnette Falls, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 Providence Dr, Waco, TX 76707 Phone: 254-313-4200 Fax: 254-313-4531 |