| Jonathan W Bourgeois, MD | |
|
1919 Rogers Rd, Suite 104, San Antonio, TX 78251 | |
| (210) 541-0700 | |
| (210) 541-6868 |
| Full Name | Jonathan W Bourgeois |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 22 Years |
| Location | 1919 Rogers Rd, San Antonio, 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 |
|---|---|---|---|
| 1528183001 | NPI | - | NPPES |
| 3861148 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | R6346 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sacred Heart Medical Center - Riverbend | Springfield, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwest Anesthesia Physicians Pc | 3274420138 | 81 |
| Entity Name | Oregon Anesthesiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20031226000058 |
| Entity Name | Northwest Anesthesia Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770531196 PECOS PAC ID: 3274420138 Enrollment ID: O20040304000014 |
| Entity Name | Salem Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
| Entity Name | Columbia Anesthesia Group P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861448235 PECOS PAC ID: 8426954322 Enrollment ID: O20040316000861 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan W Bourgeois, MD 1919 Rogers Rd, Suite 104, San Antonio, TX 78251-4614 Ph: (210) 541-0700 | Jonathan W Bourgeois, MD 1919 Rogers Rd, Suite 104, San Antonio, TX 78251 Ph: (210) 541-0700 |
Timothy J Rutz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr Ste 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Scott Taylor Kane, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Dr. Dane Bailey, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-4509 | |
John Jeffrey Hartman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1642 Lockhill Selma Rd, San Antonio, TX 78213 Phone: 210-233-9331 Fax: 210-233-9454 | |
Nita Elizabeth Kuttikandathil, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr # 7838, San Antonio, TX 78229 Phone: 281-750-5341 | |
Dr. Kamala Rao, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 San Pedro Ave, San Antonio, TX 78205 Phone: 210-224-2424 Fax: 210-224-2040 | |
Mark E Crum, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 |