| Dr Jayne Suzanne Truckenbrod, DO | |
|
4900 Mueller Blvd, Austin, TX 78723-3079 | |
| (512) 324-0165 | |
| Not Available |
| Full Name | Dr Jayne Suzanne Truckenbrod |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 4900 Mueller Blvd, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477744662 | NPI | - | NPPES |
| 328476201 | Medicaid | TX | |
| 328476203 | Medicaid | TX | |
| 328476202 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | P7718 (Texas) | Primary |
| 208000000X | Pediatrics | P7718 (Texas) | Secondary |
| Entity Name | Dell Childrens Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
| Entity Name | Pediatrix Medical Group Of Texas Billing Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649377359 PECOS PAC ID: 0042283921 Enrollment ID: O20110907001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jayne Suzanne Truckenbrod, DO 1601 Rio Grande St, Suite 340, Austin, TX 78701-1137 Ph: (512) 324-8960 | Dr Jayne Suzanne Truckenbrod, DO 4900 Mueller Blvd, Austin, TX 78723-3079 Ph: (512) 324-0165 |
Dr. Leah Barnett Staines, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1201 W 38th St, Austin, TX 78705 Phone: 800-243-3839 | |
Holly A Cearley, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 2400 Cedar Bend Dr., Austin, TX 78758 Phone: 512-901-4016 Fax: 512-901-3948 | |
Juan Camilo Leuro, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 6907 N Capital Of Texas Hwy Ste 240, Austin, TX 78731 Phone: 512-458-1121 Fax: 737-272-6740 | |
Dr. Elinor Elizabeth Pisano Anspaugh, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 12221 North Mopac Expwy, Austin, TX 78704 Phone: 512-901-1000 | |
Lakshmy Vaidyanathan, M.D Hospitalist Medicare: Medicare Enrolled Practice Location: 1201 W 38th St, Austin, TX 78705 Phone: 512-659-5926 | |
Malik M Merchant, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 12221 N Mopac Expy, Austin, TX 78758 Phone: 512-901-4009 Fax: 512-901-3909 | |
Dr. Stephanie Marie Glover, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 1201 W 38th St, Nicu 8th Floor, Austin, TX 78705 Phone: 512-324-1085 |