| Jacob Burton, DO | |
|
3501 Knickerbocker Rd, San Angelo, TX 76904-7610 | |
| (325) 747-1511 | |
| Not Available |
| Full Name | Jacob Burton |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 5 Years |
| Location | 3501 Knickerbocker Rd, San Angelo, 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 |
|---|---|---|---|
| 1104449917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | V1043 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Medical Center | San angelo, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The University Of Texas Health Science Center At San Antonio | 0042128548 | 1184 |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| 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 |
|---|---|
| Jacob Burton, DO 4045 Caroline Ln, San Angelo, TX 76904-8205 Ph: (330) 284-6351 | Jacob Burton, DO 3501 Knickerbocker Rd, San Angelo, TX 76904-7610 Ph: (325) 747-1511 |
Robert Hamblen, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Jonathan S Gipson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Emily Michelle Dodd, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Kaylee Waldrep, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
David Allen Vance, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Beauregard Ave, San Angelo, TX 76902 Phone: 325-658-1511 | |
Dr. Marius Vulcan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-657-5320 |