| Stacey L Manion, DO | |
|
225 E Beauregard Ave, San Angelo, TX 76903-5920 | |
| (325) 658-1511 | |
| (253) 481-2166 |
| Full Name | Stacey L Manion |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 225 E Beauregard Ave, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508184771 | NPI | - | NPPES |
| 331189606 | Medicaid | TX | |
| 760358 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | P7292 (Texas) | Primary |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Val Verde Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639239239 PECOS PAC ID: 0941112023 Enrollment ID: O20041006001392 |
| Entity Name | Baylor College Of Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285079764 PECOS PAC ID: 0648405738 Enrollment ID: O20131025000939 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey L Manion, DO 225 E Beauregard Ave, San Angelo, TX 76903-5920 Ph: (325) 658-1511 | Stacey L Manion, DO 225 E Beauregard Ave, San Angelo, TX 76903-5920 Ph: (325) 658-1511 |
Alejandra C Ayestaran Cassani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2141 Hamilton Way, Ste 100, San Angelo, TX 76904 Phone: 325-245-4301 Fax: 325-245-4034 | |
Hector Acton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 Phone: 325-245-4000 | |
Sara Elizabeth Halfmann, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3555 Knickerbocker Rd, San Angelo, TX 76904 Phone: 325-949-9555 | |
Elizabeth L Young, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Stephen P Sawyer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 225 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 | |
Dr. Fernando Gonzalez, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 E Beauregard Ave, San Angelo, TX 76903 Phone: 325-658-1511 Fax: 325-481-2166 | |
Dr. Jane Rider, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2141 Hamilton Way, Ste. 100, San Angelo, TX 76904 Phone: 325-245-4000 |