| Nerisa Iolani Soeharto, PA-C | |
|
3110 Guadalupe St Ste 100, Austin, TX 78705-2858 | |
| (512) 675-1359 | |
| Not Available |
| Full Name | Nerisa Iolani Soeharto |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 3110 Guadalupe St Ste 100, Austin, 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 |
|---|---|---|---|
| 1770360588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Doctx3 Pllc | 1355620055 | 85 |
| Entity Name | Doctx3 PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467808618 PECOS PAC ID: 1355620055 Enrollment ID: O20161121002559 |
| Mailing Address | Practice Location Address |
|---|---|
| Nerisa Iolani Soeharto, PA-C 3110 Guadalupe St Ste 100, Austin, TX 78705-2858 Ph: Not Available | Nerisa Iolani Soeharto, PA-C 3110 Guadalupe St Ste 100, Austin, TX 78705-2858 Ph: (512) 675-1359 |
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 |
Sally Matika, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6818 Austin Center Blvd Ste 204, Austin, TX 78731 Phone: 512-867-6211 |
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 |
Emily Linker, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 310 Comal St, Building A, Suite 200, #242, Austin, TX 78702 Phone: 737-270-9500 Fax: 833-906-2436 |
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 |