| Dr Mary E White, | |
|
616 W Russell Pl, San Antonio, TX 78212-3658 | |
| (800) 257-8715 | |
| (800) 819-1655 |
| Full Name | Dr Mary E White |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 34 Years |
| Location | 616 W Russell Pl, San Antonio, 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 |
|---|---|---|---|
| 1407927122 | NPI | - | NPPES |
| 86040A | Other | TX | BLUE CROSS BLUE SHIELD |
| 116109302 | Medicaid | TX | |
| 116109303 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 24900 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deer Oaks Geriatric Services P C | 9234034075 | 34 |
| Entity Name | Deer Oaks Geriatric Services P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134169287 PECOS PAC ID: 9234034075 Enrollment ID: O20031204000440 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary E White, 1810 Justin Ln, Austin, TX 78757-2409 Ph: (512) 453-4561 | Dr Mary E White, 616 W Russell Pl, San Antonio, TX 78212-3658 Ph: (800) 257-8715 |
Dr. Trudi Zaplac, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 8626 Tesoro Dr Ste 490, San Antonio, TX 78217 Phone: 210-202-0100 | |
Joshua D Essery, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8535 Tom Slick, San Antonio, TX 78229 Phone: 210-616-0300 | |
Dr. Jesus Aranda-cano, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Rd, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700 | |
Dr. Nancy Sylvia L. Witt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240 Phone: 210-615-3483 Fax: 210-593-9863 | |
Thomas Bernard Holland, PSY. D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, San Antonio, TX 78236 Phone: 304-702-5431 | |
Dr. David R Zimmermann, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 616 W Russell Pl, San Antonio, TX 78212 Phone: 800-257-8715 Fax: 800-819-1655 | |
Russel L Thompson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Road, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700 Fax: 210-587-2454 |