Ashley Northcutt, | |
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
(210) 916-3765 | |
Not Available |
Full Name | Ashley Northcutt |
---|---|
Gender | Female |
Speciality | General Surgery |
Experience | 17 Years |
Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538370952 | NPI | - | NPPES |
938555 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | S4034 (Texas) | Secondary |
208600000X | Surgery | 49254 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Tech University Health Sciences Center Lubbock | 4385549674 | 318 |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Mailing Address | Practice Location Address |
---|---|
Ashley Northcutt, File 56765, Los Angeles, CA 90074-6769 Ph: (602) 406-3860 | Ashley Northcutt, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-3765 |
Dr. George Earl Peoples Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4235 Fax: 210-916-5102 | |
Dr. Jeremy Tyler Bolin, MD Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Candace Ward, MD, MPH Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500 | |
Penelope Anne Herder, DO Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Tommy Alan Brown Ii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3400 | |
Dr. Pamela Christine Masella, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0393 | |
Dr. Jamie Rand, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |