| Michael W Mouw, MD | |
|
601 E 15th St, Austin, TX 78701-1930 | |
| (512) 324-7000 | |
| Not Available |
| Full Name | Michael W Mouw |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 601 E 15th St, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063479376 | NPI | - | NPPES |
| 125535805 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | G5410 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | G5410 (Texas) | Primary |
| Entity Name | Integrative Emergency Services Physician Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285922542 PECOS PAC ID: 0749447936 Enrollment ID: O20120130000932 |
| Entity Name | Victoria Emergency Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164770996 PECOS PAC ID: 7012165939 Enrollment ID: O20120919000322 |
| Entity Name | Leading Edge Emergency Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003165259 PECOS PAC ID: 2466601588 Enrollment ID: O20121005000189 |
| Entity Name | Century Integrated Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152 |
| Entity Name | Pearsall Emergency Medicine Associates, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104326263 PECOS PAC ID: 1557623147 Enrollment ID: O20180319002335 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael W Mouw, MD 5616 Ballenton Ln, Austin, TX 78739-1742 Ph: () - | Michael W Mouw, MD 601 E 15th St, Austin, TX 78701-1930 Ph: (512) 324-7000 |
Dr. Suprina Dorai, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8721 Menchaca Rd, Austin, TX 78748 Phone: 512-280-6959 | |
Nicole Maree Hotchkiss, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6300 La Calma Dr Ste 200, Austin, TX 78752 Phone: 512-452-8533 | |
Kimberly Snyder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12221 N. Mopac Expressway, Austin, TX 78758 Phone: 512-901-1000 | |
Rex E. Medford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Ronald S. Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Dr. Jon E. Jaffe, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7802 Lindenwood Cir, Austin, TX 78731 Phone: 512-658-9923 | |
Eric A Higginbotham, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8611 N Mopac Expy # 300, Austin, TX 78759 Phone: 737-220-8200 |