| Jonathan Bryce Rudolph, | |
|
705 Landa St Ste B, New Braunfels, TX 78130-6163 | |
| (210) 360-1590 | |
| Not Available |
| Full Name | Jonathan Bryce Rudolph |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 705 Landa St Ste B, New Braunfels, 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 |
|---|---|---|---|
| 1346085925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1190388 (Texas) | Primary |
| 163W00000X | Registered Nurse | 935768 (Texas) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Affective Mental Wellness Llc | 9931525375 | 4 |
| Entity Name | Affective Mental Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396354874 PECOS PAC ID: 9931525375 Enrollment ID: O20200817002352 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Bryce Rudolph, 705 Landa St Ste B, New Braunfels, TX 78130-6163 Ph: () - | Jonathan Bryce Rudolph, 705 Landa St Ste B, New Braunfels, TX 78130-6163 Ph: (210) 360-1590 |
Mrs. Paula Josephine Worley, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 66 Gruene Park Dr Ste 205, New Braunfels, TX 78130 Phone: 830-743-9192 Fax: 830-743-9193 | |
Aaron Wilson Kirby, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 790 Generations Dr Ste 210, New Braunfels, TX 78130 Phone: 210-868-5801 | |
David Jones, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 598 N Union Ave, Ste 335, New Braunfels, TX 78130 Phone: 830-643-6205 Fax: 830-643-6204 | |
Sherry Lynnette Petrosky, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1626 E Common St, New Braunfels, TX 78130 Phone: 830-620-1272 | |
Kelly Jo Koss, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1534 Misty Holw, New Braunfels, TX 78132 Phone: 888-731-8994 | |
Amanda Hunt, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1195 W San Antonio St, New Braunfels, TX 78130 Phone: 830-632-5231 | |
Tiffany A Peteete, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Union Ave, New Braunfels, TX 78130 Phone: 830-708-0113 |