Mamatha Bollineni (NPI# 1639353139, PAC ID# 0941363634) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1639353139 |
| PAC ID by PECOS | 0941363634 |
| Professional Enrollment ID | I20150129001829 |
| Full Name | Mamatha Bollineni |
| Organization Legal Name | TIMBERLAND MEDICAL GROUP |
| Address |
11521 Fm 620 Suite C800 Austin TX 78726-1139 |
| Phone Number | 5122190670 |
| Gender | F |
| Graduation Year | 1998 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7719875491 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 670043 | CEDAR PARK REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11521 Fm 620, Suite C800, Austin, TX 78726-1139 | 5122190670 | TIMBERLAND MEDICAL GROUP |
| Organization Legal Name | TIMBERLAND MEDICAL GROUP |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell Wise | Nurse Practitioner | Timberland Medical Group | 4415 Us Hwy 83 100, Laredo Care Clinic, Laredo, TX 78046 |
| Kellyn Rielly | Obstetrics/gynecology | Timberland Medical Group | 6056, Spring, TX 77379-2542 |
| Margarito Benitez | Nurse Practitioner | Timberland Medical Group | 801 N Us Hwy 83, Zapata, TX 78076-3290 |
| Timothy Joe Hillbrick | Family Medicine | Timberland Medical Group | 651 N Hwy 183, Suite 110, Leander, TX 78641-7002 |
| James B Hurlburt | Family Medicine | Timberland Medical Group | 450 Cypress Creek Rd, Bldg 5, Cedar Park, TX 78613-4194 |
| Elizabeth Sandra Neal | Family Medicine | Timberland Medical Group | 7708 Lohmans Ford Rd, Bldg A, Lago Vista, TX 78645-4781 |
| Ronald Clay Mcgaugh Jr. | Family Medicine | Timberland Medical Group | 15004 Avery Ranch Blvd, Suite 105, Austin, TX 78717-4973 |
| Jean Paicurich Cole | Obstetrics/gynecology | Timberland Medical Group | 1401 B Medical Pkwy, Suite 419, Cedar Park, TX 78613-7464 |
| Walter L Chesshir Iii | Family Medicine | Timberland Medical Group | 1211 E 6th St, Suite 150, Bonham, TX 75418-4072 |
| Hailey Watson | Nurse Practitioner | Timberland Medical Group | 1211 E 6th St, Suite 150, Bonham, TX 75418-4072 |
| Street Address |
11521 FM 620 SUITE C800 |
| City | AUSTIN |
| State | TX |
| Zip | 78726-1139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Z Winsett | Diagnostic Radiology | Austin Radiological Association | 11714 Wilson Parke Ave, 175 Austin Radiological Association Wilson Parke, Austin, TX 78726-0002 |
| Nabeel Farhataziz | Diagnostic Radiology | Austin Radiological Association | 11714 Wilson Parke Ave, 175 Austin Radiological Association Wilson Parke, Austin, TX 78726-0002 |
| City | AUSTIN |
| Zip Code | 78726 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AUSTIN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mamatha Bollineni.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.