Dr Ethan Walter Scott, MD | |
3851 Roger Brooke Dr, San Antonio, TX 78234-4501 | |
(210) 916-8499 | |
Not Available |
Full Name | Dr Ethan Walter Scott |
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Gender | Male |
Speciality | Anesthesiology |
Experience | 19 Years |
Location | 3851 Roger Brooke Dr, San Antonio, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225251820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | M-9833 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Juan Regional Medical Center | Farmington, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
San Juan Regional Medical Center, Inc. | 4587559505 | 171 |
Entity Name | San Juan Regional Medical Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639662901 PECOS PAC ID: 4587559505 Enrollment ID: O20040218000865 |
Mailing Address | Practice Location Address |
---|---|
Dr Ethan Walter Scott, MD 3428 Whisper Br, Cibolo, TX 78108-2313 Ph: (210) 834-5508 | Dr Ethan Walter Scott, MD 3851 Roger Brooke Dr, San Antonio, TX 78234-4501 Ph: (210) 916-8499 |
Timothy J Rutz, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 4242 Medical Dr Ste 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Scott Taylor Kane, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 | |
Dr. Dane Bailey, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-567-4509 | |
John Jeffrey Hartman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1642 Lockhill Selma Rd, San Antonio, TX 78213 Phone: 210-233-9331 Fax: 210-233-9454 | |
Nita Elizabeth Kuttikandathil, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 7703 Floyd Curl Dr # 7838, San Antonio, TX 78229 Phone: 281-750-5341 | |
Dr. Kamala Rao, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 234 San Pedro Ave, San Antonio, TX 78205 Phone: 210-224-2424 Fax: 210-224-2040 | |
Mark E Crum, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4242 Medical Dr, Suite 3100, San Antonio, TX 78229 Phone: 210-615-1187 Fax: 210-614-2180 |