| Izabela Tarasiewicz, MD | |
|
502 Madison Oak Dr Ste 346, San Antonio, TX 78258-4084 | |
| (210) 567-6027 | |
| Not Available |
| Full Name | Izabela Tarasiewicz |
|---|---|
| Gender | Female |
| Speciality | Neurological Surgery |
| Location | 502 Madison Oak Dr Ste 346, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629123682 | NPI | - | NPPES |
| 342823701 | Medicaid | TX | |
| 036115990 1 | Medicaid | IL | |
| 342823702 | Other | TX | CSHCN |
| 1627123 | Other | IL | BCBS PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | Q3600 (Texas) | Primary |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Izabela Tarasiewicz, MD 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 Ph: (210) 567-6027 | Izabela Tarasiewicz, MD 502 Madison Oak Dr Ste 346, San Antonio, TX 78258-4084 Ph: (210) 567-6027 |
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 |