| Maxwell Franklin Mello, PHYSICIAN ASSISTANT | |
|
3000 N Ih 35 Ste 700, Austin, TX 78705-1852 | |
| (512) 807-3150 | |
| (512) 458-7879 |
| Full Name | Maxwell Franklin Mello |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3000 N Ih 35 Ste 700, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710413349 | NPI | - | NPPES |
| 3729931-01 | Medicaid | TX | |
| 577715YRMQ | Other | TX | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA11286 (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA11286 (Texas) | Primary |
| Entity Name | Curana Health Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255640678 PECOS PAC ID: 9133304603 Enrollment ID: O20110427000111 |
| Entity Name | St. David's Ortho Neuro and Rehab PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669742755 PECOS PAC ID: 5799948857 Enrollment ID: O20120530000162 |
| Entity Name | Longhorn Emergency Medical Associates PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
| Entity Name | CH Specialty Services TX PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306225701 PECOS PAC ID: 6507173291 Enrollment ID: O20150912000083 |
| Entity Name | Emergency Associates of Central Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215418280 PECOS PAC ID: 6800147216 Enrollment ID: O20180925001294 |
| Mailing Address | Practice Location Address |
|---|---|
| Maxwell Franklin Mello, PHYSICIAN ASSISTANT 3000 N Ih 35 Ste 700, Austin, TX 78705-1852 Ph: (512) 807-3150 | Maxwell Franklin Mello, PHYSICIAN ASSISTANT 3000 N Ih 35 Ste 700, Austin, TX 78705-1852 Ph: (512) 807-3150 |
Kathryn L Thompson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4101 James Casey St Ste 100, Austin, TX 78745 Phone: 512-447-2202 Fax: 512-447-5337 |
Mr. Diego Santa Ana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1004 W 32nd St Ste 400, Austin, TX 78705 Phone: 512-454-5171 |
Claire M. Ryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3707 S 2nd St Ste 100, Austin, TX 78704 Phone: 512-324-9170 Fax: 512-441-6388 |
Amelia Etzel, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1114 Lost Creek Blvd Ste 110, Austin, TX 78746 Phone: 512-707-1629 |
Jazmine Nicole Alanis, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2217 Park Bend Dr Ste 300, Austin, TX 78758 Phone: 512-382-1933 |
Erin Elizabeth Moise, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4910 Mueller Blvd, Suite 103, Austin, TX 78723 Phone: 512-324-0040 |
Christopher Robert Cooper, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2004 Vervain Ct, Austin, TX 78733 Phone: 512-924-3777 |