Mrs Magdelenis Gongora, MD in Fort Sam Houston, TX

Mrs Magdelenis Gongora, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in Fort Sam Houston, Texas. Her current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 916-7428.

Mrs Magdelenis Gongora is licensed to practice in Texas (license number R8196) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871850487.

Contact Information

	Mrs Magdelenis Gongora, MD
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(210) 916-7428
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Magdelenis Gongora
Gender	Female
Speciality	Pediatrics - Pediatric Critical Care 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.

NPI Data:

NPI Number: 1871850487
Provider Enumeration Date: 04/19/2012
Last Update Date: 07/23/2025

Medicare PECOS Information:

PECOS PAC ID: 2961742176
Enrollment ID: I20190326002737

Medical Identifiers

Medical identifiers for Mrs Magdelenis Gongora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871850487	NPI	-	NPPES
395367103	Other	TX	CSHCN
395367102	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	R8196 (Texas)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	R8196 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Magdelenis Gongora allows following entities to bill medicare on her behalf.

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	The University Of Texas Health Science Center At San Antonio
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Magdelenis Gongora is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Magdelenis Gongora, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: () -	Mrs Magdelenis Gongora, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-7428

Reviews and Comments

Pediatrics Doctors in Fort Sam Houston, TX

Dr. Daniel Victor-calvin Hammond, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3020
Dr. Thornton Samuel Mu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-0707
Katherine Darby Dobbins, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3230
Dr. Candace Suzanne Staubitz Percival, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-216-3020
Dr. Michael A Pelzner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Matthew William Springer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Dr. Robert Kurt Gillette, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Bamc -- Mche-qd (creds), Fort Sam Houston, TX 78234 Phone: 210-916-3249

Mrs Magdelenis Gongora, MD - Medicare Pediatrics in Fort Sam Houston, TX