Gastroenterology Clinic Of San Antonio, P.a. - Medicare Primary Care in San Antonio, TX

Gastroenterology Clinic Of San Antonio, P.a. is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in San Antonio, Texas. The current practice location for Gastroenterology Clinic Of San Antonio, P.a. is 8550 Datapoint Dr, Suite 200, San Antonio, Texas. For appointments, you can reach them via phone at (210) 615-8308. The mailing address for Gastroenterology Clinic Of San Antonio, P.a. is 8550 Datapoint Dr, Suite 200, San Antonio, Texas and phone number is (210) 615-8308.

Gastroenterology Clinic Of San Antonio, P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053490631. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (210) 615-8308.

Contact Information

Gastroenterology Clinic Of San Antonio, P.a.
8550 Datapoint Dr
Suite 200
San Antonio
TX 78229-3270
(210) 615-8308
(210) 615-8313

Map and Direction


Primary Care Clinic Profile

Full NameGastroenterology Clinic Of San Antonio, P.a.
SpecialityInternal Medicine
Location8550 Datapoint Dr, San Antonio, Texas
Authorized Official Name and PositionRussell Havranek (CEO)
Authorized Official Contact2106158308
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gastroenterology Clinic Of San Antonio, P.a.
8550 Datapoint Dr
Suite 200
San Antonio
TX 78229-3270

Ph: (210) 615-8308
Gastroenterology Clinic Of San Antonio, P.a.
8550 Datapoint Dr
Suite 200
San Antonio
TX 78229-3270

Ph: (210) 615-8308

NPI Details:

NPI Number1053490631
Provider Enumeration Date11/03/2006
Last Update Date10/29/2015

Medicare PECOS Information:

Medicare PECOS PAC ID7618881681
Medicare Enrollment IDO20031113000804

Medical Identifiers

Medical identifiers for Gastroenterology Clinic Of San Antonio, P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053490631NPI-NPPES
044080201MedicaidTX
00BL45OtherTXMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Gastroenterology Clinic Of San Antonio, P.a. acts as a billing entity for following providers:
Provider NameBassem Mazloum
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1154374742
PECOS PAC ID: 7517940257
Enrollment ID: I20040611001197
Provider NameRussell Havranek
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871672519
PECOS PAC ID: 2567417025
Enrollment ID: I20050317000263
Provider NameJorge Munoz
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1164535191
PECOS PAC ID: 3375586100
Enrollment ID: I20050602001031
Provider NameGary S Gossen
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1124091079
PECOS PAC ID: 3274566252
Enrollment ID: I20091211000582
Provider NameVictor F Zurita
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1245319995
PECOS PAC ID: 7810938065
Enrollment ID: I20120125000682
Provider NameCharles W Randall
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1295814952
PECOS PAC ID: 6406760479
Enrollment ID: I20120515000326
Provider NameCorine Necole Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871963728
PECOS PAC ID: 4183925035
Enrollment ID: I20151217001227
Provider NameNicholas P Martinez
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1174843726
PECOS PAC ID: 0345535688
Enrollment ID: I20160825000268
Provider NameJohn Austin Vizuete
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1477812121
PECOS PAC ID: 6507156304
Enrollment ID: I20161228001144
Provider NameAllison Harrington
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1871940650
PECOS PAC ID: 6800187618
Enrollment ID: I20220531001349
Provider NameKelly L Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063991800
PECOS PAC ID: 3072971449
Enrollment ID: I20230615003209
Provider NameDeanna J May
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093271546
PECOS PAC ID: 2567820954
Enrollment ID: I20230616000372

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.