| Dr Mystan Ashley Gurkin, MD | |
|
604 Highway 290 W, Brenham, TX 77833-5432 | |
| (979) 421-2000 | |
| (979) 421-9678 |
| Full Name | Dr Mystan Ashley Gurkin |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 29 Years |
| Location | 604 Highway 290 W, Brenham, 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 |
|---|---|---|---|
| 1134182975 | NPI | - | NPPES |
| 159869004 | Medicaid | TX | |
| P0062953 | Other | TX | RAILROAD GBA - RAILROAD MEDICARE |
| P01090493 | Other | TX | RAILROAD MEDICARE PTAN |
| 8DE529 | Other | TX | BC/BS # |
| MDK7163TX | Other | TX | WORKERS COMPENSATION |
| 159869001 | Medicaid | TX | |
| 8J1711 | Other | TX | BC/BX TX# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | K7163 (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 Mystan Ashley Gurkin, MD Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Dr Mystan Ashley Gurkin, MD 604 Highway 290 W, Brenham, TX 77833-5432 Ph: (979) 421-2000 |
Dr. Leonidas Pena, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
William Klingsporn, Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 N Park St, Brenham, TX 77833 Phone: 979-337-5800 | |
Dr. Jeffrey Ronald Stoltenberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 |