| Micaela Larose, | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (210) 916-4789 | |
| (210) 916-6654 |
| Full Name | Micaela Larose |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245825108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | U1525 (Texas) | Primary |
| Entity Name | Third Coast Emergency Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497793475 PECOS PAC ID: 6800794447 Enrollment ID: O20031222000126 |
| Entity Name | Travis County Emergency Physicians Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492 |
| Entity Name | Emergency Medicine Services Of Tx, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124 |
| Mailing Address | Practice Location Address |
|---|---|
| Micaela Larose, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-4789 | Micaela Larose, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-4789 |
Sara Birdsong, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Mrs. Robyn Ruth Lombardo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Jonathan Kline, PA-C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 405-370-2093 | |
Dr. Jacob Powell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3851 Roger Brooke Dr # 3600, Department Of Emergency Medicine, Fort Sam Houston, TX 78234 Phone: 210-916-6129 | |
Dr. Mark A. Antonacci, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 850-687-0316 | |
Jason Michael Dillashaw, P.A. - C Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141 | |
Dr. Evan Morris Baines, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |