| Dr Pegah Ghamasaee, MD | |
|
4502 Medical Dr Fl 2, San Antonio, TX 78229-4402 | |
| (210) 358-8555 | |
| (210) 358-4727 |
| Full Name | Dr Pegah Ghamasaee |
|---|---|
| Gender | Female |
| Speciality | Neurosurgery |
| Experience | 8 Years |
| Location | 4502 Medical Dr Fl 2, San Antonio, 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 |
|---|---|---|---|
| 1376071407 | NPI | - | NPPES |
| 1376071407 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 83514 (Wisconsin) | Secondary |
| 207T00000X | Neurological Surgery | V8265 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Froedtert Memorial Lutheran Hospital | Milwaukee, WI | Hospital |
| Community Memorial Hospital | Menomonee falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Medical College Of Wisconsin Inc | 2668384371 | 1902 |
| Entity Name | The Medical College Of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Pegah Ghamasaee, MD 4502 Medical Dr Fl 2, San Antonio, TX 78229-4402 Ph: (210) 358-8555 | Dr Pegah Ghamasaee, MD 4502 Medical Dr Fl 2, San Antonio, TX 78229-4402 Ph: (210) 358-8555 |
Dr. Gerardo Zavala, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4423 Nw Loop 410, Ste 100, San Antonio, TX 78229 Phone: 210-541-9898 Fax: 210-541-0580 | |
Dr. John Robert Floyd Ii, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-5625 Fax: 210-567-6066 | |
Ndi Geh, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 4410 Medical Dr Ste 320, San Antonio, TX 78229 Phone: 210-874-3270 Fax: 210-874-3749 | |
Viktor Bartanusz, M.D. Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-8555 Fax: 210-358-8576 | |
Rosemaria Gennuso, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 4410 Medical Dr, Ste 540, San Antonio, TX 78229 Phone: 210-575-6240 Fax: 210-575-6280 | |
Mr. Derrick Yuan Sun, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-358-8555 | |
Dr. Joanna Elizabeth Gernsback, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-4995 |