Dr. Gina Larissa Aeckersberg
MD | Pediatric Nephrology | Female
Dr. Gina Larissa Aeckersberg, MD is a Charleston, South Carolina based Pediatric doctor with medical specialization in
Pediatric Nephrology.
Current practice location of Dr. Gina Larissa Aeckersberg is
169 Ashley Ave Rm 202, Charleston, South Carolina - 29425-8905. She can be contacted on phone at
937-272-4976.
Dr. Gina Larissa Aeckersberg is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Gina Larissa Aeckersberg is
1992296818 which was assigned by NPPES on 25 May, 2018 and it was last updated on 02 May, 2023.
Dr. Gina Larissa Aeckersberg license number is
89678 for Pediatrics, Pediatric Nephrology (2080P0210X) in South Carolina.
Dr. Gina Larissa Aeckersberg deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Complete Profile:
Dr. Gina Larissa Aeckersberg basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Nephrology |
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| Provider Name : | Dr. Gina Larissa Aeckersberg |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Gina Larissa Aeckersberg address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 169 Ashley Ave Rm 202
Charleston, SC, 29425-8905
United States |
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| Phone Number : | 937-272-4976 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1992296818 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 25 May, 2018 |
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| Last Updated On : | 02 May, 2023 |
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Medicare Participation:
Dr. Gina Larissa Aeckersberg participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4385048453 |
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| Medicare Enrollment ID : | I20210811002588 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2016 |
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| Accepts Medicare? | Yes. Dr. Gina Larissa Aeckersberg accepts medicare insurance. |
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Group Practice Association:
Dr. Gina Larissa Aeckersberg is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Gina Larissa Aeckersberg is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| University Of Texas Health Science Center At San Antonio | 0042128548 | 1105 | 4502 Medical Dr
San Antonio, TX - 782294402
Ph: 2103584000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gina Larissa Aeckersberg are as mentioned. Primary taxonomy code for Dr. Gina Larissa Aeckersberg, MD is
2080P0210X (Pediatrics, Pediatric Nephrology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 47374 | TX |
| 2080P0210X | Pediatrics, Pediatric Nephrology | Yes | 89678 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gina Larissa Aeckersberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 426932601 | MEDICAID | TX | |
| 426932602 | Other (non-Medicare) | TX | CSHCN |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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4502 MEDICAL DR,
SAN ANTONIO, TX, 78229-4402
United States | SAN ANTONIO, TX | 210-562-5365 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 169 Ashley Ave Rm 202
Charleston, SC, 29425-8905
United States |
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| Phone Number : | 937-272-4976 |
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Business Location:
Patients can refer following map for directions to
Dr. Gina Larissa Aeckersberg practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.