Alexis Wiesenthal Md Pa - Medicare Primary Care in San Antonio, TX

Alexis Wiesenthal Md Pa is a medicare enrolled primary clinic (Clinic/center - Primary Care) in San Antonio, Texas. The current practice location for Alexis Wiesenthal Md Pa is 8038 Wurzbach Rd Ste 320, San Antonio, Texas. For appointments, you can reach them via phone at (210) 614-3365. The mailing address for Alexis Wiesenthal Md Pa is Po Box 6627, San Antonio, Texas and phone number is () -.

Alexis Wiesenthal Md Pa is licensed to practice in Texas (license number N1219). The clinic also participates in the medicare program and its NPI number is 1003175662. 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) 614-3365.

Contact Information

Alexis Wiesenthal Md Pa
8038 Wurzbach Rd Ste 320
San Antonio
TX 78229-3813
(210) 614-3365
Not Available

Primary Care Clinic Profile

Full NameAlexis Wiesenthal Md Pa
SpecialityClinic/Center
Location8038 Wurzbach Rd Ste 320, San Antonio, Texas
Authorized Official Name and PositionAlexis Wiesenthal (PRESIDENT)
Authorized Official Contact2108573767
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alexis Wiesenthal Md Pa
Po Box 6627
San Antonio
TX 78209-0627

Ph: () -
Alexis Wiesenthal Md Pa
8038 Wurzbach Rd Ste 320
San Antonio
TX 78229-3813

Ph: (210) 614-3365

NPI Details:

NPI Number1003175662
Provider Enumeration Date05/16/2012
Last Update Date05/16/2012

Medicare PECOS Information:

Medicare PECOS PAC ID9133385412
Medicare Enrollment IDO20120801000272

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Medical Identifiers

Medical identifiers for Alexis Wiesenthal Md Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003175662NPI-NPPES
8F9634OtherTXMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine N1219 (Texas)Secondary
261QP2300XClinic/center - Primary Care N1219 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Alexis Wiesenthal Md Pa acts as a billing entity for following providers:
Provider NameAlexis A Wiesenthal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881663557
PECOS PAC ID: 3072676360
Enrollment ID: I20090113000490

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