| Dr Mark A Antonacci, MD | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (850) 687-0316 | |
| Not Available |
| Full Name | Dr Mark A Antonacci |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083673016 | NPI | - | NPPES |
| 01791 | Other | FL | BCBS |
| 059191709 | Other | AL | BCBS |
| 059191697 | Other | AL | BCBS |
| 261491000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME82194 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | P4138 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Urgent Care Pa | 3072679828 | 135 |
| Entity Name | Legacy Urgent Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
| Entity Name | Premier Physicians - Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801204656 PECOS PAC ID: 9234416744 Enrollment ID: O20170511000584 |
| Entity Name | Cec San Antonio Er Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124364302 PECOS PAC ID: 3173954955 Enrollment ID: O20200511003066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark A Antonacci, MD 318 Tranquil Oak, San Antonio, TX 78260-3504 Ph: (850) 687-0316 | Dr Mark A Antonacci, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (850) 687-0316 |
Sara Birdsong, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Mrs. Robyn Ruth Lombardo, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Jonathan Kline, PA-C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 405-370-2093 | |
Dr. Jacob Powell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3851 Roger Brooke Dr # 3600, Department Of Emergency Medicine, Fort Sam Houston, TX 78234 Phone: 210-916-6129 | |
Jason Michael Dillashaw, P.A. - C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141 | |
Dr. Evan Morris Baines, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |