| Dr Jeffrey Ronald Stoltenberg, MD | |
|
600 North Park St, Brenham, TX 77833-2610 | |
| (979) 836-6153 | |
| Not Available |
| Full Name | Dr Jeffrey Ronald Stoltenberg |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 43 Years |
| Location | 600 North Park St, Brenham, 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 |
|---|---|---|---|
| 1558364612 | NPI | - | NPPES |
| AMERIGROUP | Other | TX | AMERIGROUP |
| 10011289 | Other | TX | SUPERIOR CHIPS |
| 101240303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | G5655 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Scott & White Hospital Brenham |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295464949 PECOS PAC ID: 5799719787 Enrollment ID: O20220719002610 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Ronald Stoltenberg, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Dr Jeffrey Ronald Stoltenberg, MD 600 North Park St, Brenham, TX 77833-2610 Ph: (979) 836-6153 |
Dr. Leonidas Pena, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Dr. Mystan Ashley Gurkin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 604 Highway 290 W, Brenham, TX 77833 Phone: 979-421-2000 Fax: 979-421-9678 | |
William Klingsporn, Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-337-5800 |