| Marie Cecilia Perusek, MD | |
|
88 Briggs Ave., Southwest Diagnostic Center, Suite 110, San Antonio, TX 78224-4000 | |
| (210) 921-0902 | |
| (210) 923-8220 |
| Full Name | Marie Cecilia Perusek |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 88 Briggs Ave., Southwest Diagnostic Center, 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 |
|---|---|---|---|
| 1740303171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | F9943 (Texas) | Primary |
| Entity Name | South Texas Radiology Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851368039 PECOS PAC ID: 2567365083 Enrollment ID: O20040130000694 |
| Entity Name | South Texas Radiology Imaging Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396718334 PECOS PAC ID: 0547153512 Enrollment ID: O20040204000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Cecilia Perusek, MD 8310 Timber Glen St, San Antonio, TX 78250-4434 Ph: (210) 647-3272 | Marie Cecilia Perusek, MD 88 Briggs Ave., Southwest Diagnostic Center, Suite 110, San Antonio, TX 78224-4000 Ph: (210) 921-0902 |
Christian Joseph Reitano, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 111 Dallas St, San Antonio, TX 78205 Phone: 210-297-7780 Fax: 985-265-0539 | |
Shahedur Rahman, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-2661 | |
Dr. Amy Benson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 311 Camden St, Suite 208, San Antonio, TX 78215 Phone: 210-892-0228 Fax: 210-455-0169 | |
Dr. Sarah Morris Rothan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8401 Datapoint Dr Ste 600, San Antonio, TX 78229 Phone: 210-616-7784 | |
Eric Ortega, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-7000 | |
Michael Mccarthy, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7703 Floyd Curl Dr, Mc 7977, San Antonio, TX 78229 Phone: 210-257-1400 Fax: 210-257-1428 | |
Dr. Gladys S. Sepulveda, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8401 Datapoint Dr, Suite 600, San Antonio, TX 78229 Phone: 210-616-7700 |