Anna Atencio, D.O.
Individual provider Active NPI Family Medicine Physician · Alton, TX
NPI 1457791618 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1457791618
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- Q9781 (TX)
- Practice address
- 306 E Main Ave
Suite 5 & 6
Alton, TX 78573-6955 - Phone
- (956) 424-7655
- Fax
- (956) 424-7049
- NPI assigned
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Western University of Health Sciences College of Dental Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McAllen Hospitalist Group PLLC
Practice addresses (Care Compare)
1200 S 10TH Ave
Edinberg, TX 78539-5516
Phone (956) 292-0781
Hospital & facility affiliations
- South Texas Health System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160930000059 | TX | Practitioner - Family Practice | 2365739638 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125062559 | IL | MD | Family Medicine Physician |
| Q9781 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McAllen Hospitalist Group, PLLC | Family Medicine | Current |
Accepting new patients |
Locations
306 E Main Ave
Ste 6
Alton, TX 78573
Phone (956) 597-3005
306 E Main Ave
Ste 5
Alton, TX 78573
Phone (956) 424-7655
1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500
1200 S 10th Ave
Edinburg, TX 78539
Phone (956) 292-0781
300 E Mile 3 Rd
Unit 190
Palmhurst, TX 78573
Phone (956) 997-3344
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125062559 | IL | |
| Family Medicine Physician | 207Q00000X | Q9781 | TX | Yes |
Addresses
Primary practice location
306 E Main Ave
Suite 5 & 6
Alton, TX 78573-6955
Mailing address
PO Box 3046
Malvern, PA 19355-0746
Phone (956) 424-7655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3630808-01 | Medicaid | TX |
Other providers in Alton, TX
- Alton Childrens Care Clinic, P.a.
- Alton Dentistry, PLLC
- Alton Kids Rehab, LLC
- Claudia Ophelia Alvarez
- At Your Reach D.M.E. LLC
- Jaime Xavier Barrera
- Joscelyne Poulette Bazaldua del Angel
- Bazan Therapeutics, LLC
- Noe Bazan
- C-Pharmrx,LLC
All providers in Alton, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.