| Dr Emily Liga Prosise, MD | |
|
102 Westlake Dr Ste 100, West Lake Hills, TX 78746-5373 | |
| (512) 327-7779 | |
| (512) 444-0977 |
| Full Name | Dr Emily Liga Prosise |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 28 Years |
| Location | 102 Westlake Dr Ste 100, West Lake Hills, 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 |
|---|---|---|---|
| 1548272065 | NPI | - | NPPES |
| CK3641 | Other | MEDICARE RAILROAD GROUP NUMBER | |
| 0021HW | Other | BCBS GROUP NUMBER | |
| 8F9624 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | M9584 (Texas) | Secondary |
| 207N00000X | Dermatology | M9584 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Texas Dermatology Pa | 7113043654 | 7 |
| Clear Creek Dermatology | 8325435977 | 5 |
| Entity Name | Central Texas Dermatology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164566246 PECOS PAC ID: 7113043654 Enrollment ID: O20100922000226 |
| Entity Name | Clear Creek Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013667161 PECOS PAC ID: 8325435977 Enrollment ID: O20220428001751 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emily Liga Prosise, MD 102 Westlake Dr Ste 100, West Lake Hills, TX 78746-5373 Ph: (512) 327-7779 | Dr Emily Liga Prosise, MD 102 Westlake Dr Ste 100, West Lake Hills, TX 78746-5373 Ph: (512) 327-7779 |
Mrs. Halliday Craige Mcdonald, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 102 Westlake Dr Ste 103, West Lake Hills, TX 78746 Phone: 512-327-7779 | |
Dr. Mary Ann Martinez, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5656 Bee Caves Rd Ste 203, West Lake Hills, TX 78746 Phone: 512-329-6029 | |
Stacia C. Miles, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1250 S Capital Of Texas Hwy, Bldg 3 Fl 1, West Lake Hills, TX 78746 Phone: 512-334-2401 Fax: 512-334-2491 | |
Mr. Zoltan Trizna, MD Dermatology Medicare: Medicare Enrolled Practice Location: 102 Westlake Dr Ste 100, West Lake Hills, TX 78746 Phone: 512-327-7779 Fax: 512-444-0977 | |
Dr. Olivia Mei Chen, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 102 Westlake Dr Ste 100, West Lake Hills, TX 78746 Phone: 512-327-7779 | |
Eric Locker, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1513 Flintridge Rd, West Lake Hills, TX 78746 Phone: 512-327-1479 |