Robert C. Mignacca

M.D. | Pediatric Hematology-Oncology | Male

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Complete Profile:

Robert C. Mignacca basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Robert C. Mignacca
Credential :	M.D.
Gender :	Male

Business Address:

Robert C. Mignacca 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 :	4910 Mueller Blvd Ste 200 Austin, TX, 78723-3079 United States
Phone Number :	512-628-1900
Fax Number :	512-628-1901

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 :	1891707733
NPI Entity Type :	Individual
First Enrolment Date :	12 Aug, 2006
Last Updated On :	10 Jun, 2022

Medicare Participation:

Robert C. Mignacca participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7214016443
Medicare Enrollment ID :	I20120615000414
Primary Specialty :	Pediatric Medicine
Medical School :	St. Louis College Of Physicians And Surgeons
Graduation Year :	1990
Accepts Medicare?	Yes. Robert C. Mignacca accepts medicare insurance.

Group Practice Association:

Robert C. Mignacca 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 Robert C. Mignacca is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Dell Childrens Medical Group	8224092978	112	1301 Barbara Jordan Blvd Austin, TX - 787233078	Yes
Dell Childrens Medical Group	8224092978	112	4900 Mueller Blvd Austin, TX - 787233079 Ph: 5123240000	Yes
Dell Childrens Medical Group	8224092978	112	4910 Mueller Blvd Austin, TX - 787233079	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 Robert C. Mignacca are as mentioned. Primary taxonomy code for Robert C. Mignacca, M.D. is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	P1900	TX

Legacy Identifiers:

Other legacy medical identifiers of Robert C. Mignacca such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
296461101	MEDICAID	TX

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 :	4910 Mueller Blvd Ste 200 Austin, TX, 78723-3079 United States
Phone Number :	512-628-1900
Fax Number :	512-628-1901

Business Location:

Patients can refer following map for directions to Robert C. Mignacca 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.