| Jared Blaine Mabery, MD | |
|
2400 Round Rock Ave, Round Rock, TX 78681-4004 | |
| (512) 341-1000 | |
| Not Available |
| Full Name | Jared Blaine Mabery |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 2400 Round Rock Ave, Round Rock, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205884202 | NPI | - | NPPES |
| 122080805 | Medicaid | TX | |
| 122080807 | Medicaid | TX | |
| P00967092 | Other | TX | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | K7809 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | K7809 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Urgent Care Pa | 3072679828 | 135 |
| Entity Name | Legacy Urgent Care Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568622272 PECOS PAC ID: 3072679828 Enrollment ID: O20090304000140 |
| Entity Name | Premier Physicians - Ii Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801204656 PECOS PAC ID: 9234416744 Enrollment ID: O20170511000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Blaine Mabery, MD 5107 Waterford Ct, Temple, TX 76502-7317 Ph: (254) 742-0980 | Jared Blaine Mabery, MD 2400 Round Rock Ave, Round Rock, TX 78681-4004 Ph: (512) 341-1000 |
Clarke Worley Goodman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-341-1000 | |
Dr. Jaclyn Ngoc Minh Nguyen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Christopher Wallace, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 Fax: 512-218-6330 | |
Mark Garrison Munns, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Kristen Faye Walker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3341 Winding River Trl, Round Rock, TX 78681 Phone: 325-260-9002 | |
Dr. Peter John Richerson, M.D. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Dr. James Porter Mcdonough Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 |