| Jacob David Ornelas, MD | |
|
220 E. Harris, San Angelo, TX 76903 | |
| (325) 481-2285 | |
| (325) 481-2165 |
| Full Name | Jacob David Ornelas |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 220 E. Harris, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972766715 | NPI | - | NPPES |
| 8DF258 | Other | TX | BCBS |
| TXB156948 | Other | TX | MEDICARE |
| 302067901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | P1379 (Texas) | Primary |
| 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 | La Esperanza Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770584187 PECOS PAC ID: 7416942933 Enrollment ID: O20040415000585 |
| Entity Name | Obhg Texas Holdings Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083917769 PECOS PAC ID: 3577713072 Enrollment ID: O20121018000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob David Ornelas, MD Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Jacob David Ornelas, MD 220 E. Harris, San Angelo, TX 76903 Ph: (325) 481-2285 |
Dr. Rosalinda Carrizales, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285 | |
Genevieve P. Mejia, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 East Harris, San Angelo, TX 76903 Phone: 325-658-1511 | |
Victoria Marie Chavez, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285 | |
Jennifer M Moss, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285 Fax: 325-944-9996 | |
Dr. Deborah R Hajovsky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 220 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-2285 | |
Dr. Charles D Harzke, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3605 Executive Dr, San Angelo, TX 76904 Phone: 325-949-9555 Fax: 325-224-5024 | |
Lourell E Sutliff, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 225 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 |