| Jacqueline Gonzalez, | |
|
3721 Williams Dr, Georgetown, TX 78628-2401 | |
| (512) 869-7310 | |
| Not Available |
| Full Name | Jacqueline Gonzalez |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 3721 Williams Dr, Georgetown, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053980953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PATEMP (Texas) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | TEMPORARY (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Family Allergy And Asthma, Pa | 9234562059 | 2 |
| Entity Name | Allergy & Ent Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902820368 PECOS PAC ID: 4688660715 Enrollment ID: O20040422001617 |
| Entity Name | Austin Family Allergy & Asthma, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578625190 PECOS PAC ID: 9234562059 Enrollment ID: O20191210001190 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Gonzalez, 3721 Williams Dr, Georgetown, TX 78628-2401 Ph: Not Available | Jacqueline Gonzalez, 3721 Williams Dr, Georgetown, TX 78628-2401 Ph: (512) 869-7310 |
Allison Kallman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1904 Railroad Ave Ste 100, Georgetown, TX 78626 Phone: 512-863-4563 |
Lillie Grantham, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4945 Williams Dr, Georgetown, TX 78633 Phone: 512-819-0500 |
Maya Krishnan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Rivery Blvd Ste 2215, Georgetown, TX 78628 Phone: 512-688-5579 Fax: 512-260-6080 |
Mrs. Joan Elizabeth Speer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 S Austin Ave, Ste 1320, Georgetown, TX 78626 Phone: 512-635-1856 Fax: 512-819-0646 |
Taylor Suhr Dornseifer, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 908 Rockmoor Dr, Georgetown, TX 78628 Phone: 512-868-0901 |
Emily Socorro Gonzalez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 908 Rockmoor Dr, Georgetown, TX 78628 Phone: 512-868-0901 |
Nigel Andrew Adashefski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1502 Blue Ridge Dr Ste 301, Georgetown, TX 78626 Phone: 512-409-9903 |