| Shivana Tate, PA | |
|
136 Old San Antonio Rd Ste 406, Boerne, TX 78006-3341 | |
| (830) 331-4270 | |
| (830) 331-4218 |
| Full Name | Shivana Tate |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 136 Old San Antonio Rd Ste 406, Boerne, 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 |
|---|---|---|---|
| 1487122206 | NPI | - | NPPES |
| 1487122206 | Other | CA | NPI REGESTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 56539 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Accentcare Home Health Of Texas | San antonio, TX | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conviva Medical Center Management Of Texas, P.a. | 8729302278 | 146 |
| Entity Name | Conviva Medical Center Management of Texas, P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770988990 PECOS PAC ID: 8729302278 Enrollment ID: O20150112000488 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivana Tate, PA 136 Old San Antonio Rd Ste 406, Boerne, TX 78006-3341 Ph: (830) 331-4270 | Shivana Tate, PA 136 Old San Antonio Rd Ste 406, Boerne, TX 78006-3341 Ph: (830) 331-4270 |
Ms. Lori G Rollwitz, PA-C, MPAS Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 34910 Interstate 10 W, Suite 301, Boerne, TX 78006 Phone: 830-816-3838 Fax: 830-816-3833 |
Amanda Marie Ellenburg, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 25723 Old Fredericksburg Rd, Boerne, TX 78015 Phone: 210-450-6800 |
Adam Soyars, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 W Hosack St Ste 102, Boerne, TX 78006 Phone: 210-510-0213 |
Kaytlyn D Kuecker, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 22211 I-10 Access Rd Suite 1201, Inside Salons By Jc Room #30, Boerne, TX 78006 Phone: 806-787-2563 Fax: 830-239-5193 |
Lauren Elizabeth Stein, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1580 S Main St Ste 201, Boerne, TX 78006 Phone: 210-692-1245 Fax: 210-692-9311 |
Ms. Olinda Christine Gutierrez, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1510 S Main St, Boerne, TX 78006 Phone: 830-816-4357 Fax: 830-333-1871 |
Mrs. Janice Yates, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5 Coughran Rd Ste 101, Boerne, TX 78006 Phone: 830-491-4040 |