| Dr Genaro Jesus Gutierrez, MD | |
|
4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745-1116 | |
| (855) 876-7246 | |
| (855) 277-5070 |
| Full Name | Dr Genaro Jesus Gutierrez |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 16 Years |
| Location | 4316 James Casey St, Austin, 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 |
|---|---|---|---|
| 1396971826 | NPI | - | NPPES |
| 368449YYRM | Other | TX | MEDICARE |
| Q0924 | Other | TX | TEXAS MEDICAL LICENSE |
| 368449YS47 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0000X | Pain Medicine - Pain Medicine | Q0924 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | Q0924 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Texas Pain Center, Pllc | 0547233207 | 21 |
| Entity Name | Central Texas Pain Center, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891792776 PECOS PAC ID: 0547233207 Enrollment ID: O20040819000705 |
| Entity Name | Central Texas Pain Center North, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235514704 PECOS PAC ID: 3476853425 Enrollment ID: O20151124002263 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Genaro Jesus Gutierrez, MD Po Box 208354, Dallas, TX 75320-8354 Ph: (855) 876-7246 | Dr Genaro Jesus Gutierrez, MD 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745-1116 Ph: (855) 876-7246 |
Mr. Brian Daniel James, D.O. Pain Medicine Medicare: Medicare Enrolled Practice Location: 3600 W Parmer Ln Ste 160b, Austin, TX 78727 Phone: 512-994-4159 | |
Dr. Aaron Ashoka Ali, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 Duval Rd Ste 100, Austin, TX 78759 Phone: 855-876-7246 Fax: 855-277-5070 | |
Dr. Jason Edwin Carroll, Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 2315 W Ben White Blvd, Austin, TX 78704 Phone: 512-326-5440 Fax: 512-326-8660 | |
Derek A Fitzgerald, MD Pain Medicine Medicare: Not Enrolled in Medicare Practice Location: 805 E 32nd St Ste 100-102, Austin, TX 78705 Phone: 210-374-2724 Fax: 210-874-8512 | |
Paul H Le, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 W 38th St Ste D4, Austin, TX 78705 Phone: 512-244-4272 Fax: 512-244-2895 | |
Yuen C Cheng, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 4316 James Casey St Ste 200, Austin, TX 78745 Phone: 855-876-7246 Fax: 855-277-5070 |