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Jett Joseph Mercer

Anesthesiology

Allopathic & Osteopathic Physicians

4502 Medical Dr, San Antonio, TX 78229-4402

PECOS Enrollment

This provider is enrolled in PECOS as JETT MERCER.

Based on the most recent information from CMS, provider Jett Joseph Mercer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:51 AM.

Profile Details

Provider ID
1063428381
Provider Type
Individual
Full Name
Mercer, Jett Joseph
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/31/2006
Last Updated
6/30/2017

Contact Information

Practice Location

4502 Medical Dr, San Antonio, TX 78229-4402

(210) 358-4000

Unlisted Fax

Mailing Location

7703 Floyd Curl Dr, Mc7977, San Antonio, TX 78229-3901

(210) 450-9000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License P1107 Texas
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 01057038A Indiana

Provider Identifiers

ID	Description	Issuer
ID 296762203	Description Medicaid	Issuer Unlisted Texas
ID 296762204	Description Other	Issuer CSHCN Texas

Jett Joseph Mercer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

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Description

License

Code

Description

License

Code

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Provider Identifiers

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