| Paul A Reder, MD | |
|
34910 Interstate 10 W, Boerne, TX 78006-9229 | |
| (361) 994-4880 | |
| (361) 994-4890 |
| Full Name | Paul A Reder |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 37 Years |
| Location | 34910 Interstate 10 W, Boerne, 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 |
|---|---|---|---|
| 1871521567 | NPI | - | NPPES |
| 100262986 | Medicaid | WI | |
| 1353229-12 | Medicaid | TX | |
| 135322913 | Medicaid | TX | |
| 8BR082 | Other | TX | BCBS |
| 8S4592 | Other | TX | BCBS |
| 135322914 | Medicaid | TX | |
| 135322916 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 101249 (Wisconsin) | Secondary |
| 207Y00000X | Otolaryngology | J7153 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christus St Vincent Regional Medical Center | Santa fe, NM | Hospital |
| Lovelace Regional Hospital - Roswell | Roswell, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| National Sinus Institute Pllc | 9234284407 | 33 |
| St Vincent Hospital | 6608775135 | 279 |
| National Sinus Institute Pllc | 9234284407 | 33 |
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | C H Wilkinson Physician Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457382947 PECOS PAC ID: 8921919580 Enrollment ID: O20041203000584 |
| Entity Name | National Sinus Institute Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194968081 PECOS PAC ID: 9234284407 Enrollment ID: O20151201000391 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul A Reder, MD 1620 N Main St, Spanish Fork, UT 84660-1008 Ph: (801) 822-2234 | Paul A Reder, MD 34910 Interstate 10 W, Boerne, TX 78006-9229 Ph: (361) 994-4880 |
Ian J Alexander, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 34910 Interstate 10 W 3, Boerne, TX 78006 Phone: 210-202-0250 Fax: 505-661-0075 |