Dr Richard J Cretella, MD | |
2400 Round Rock Ave, Round Rock, TX 78681-4004 | |
(512) 341-1000 | |
Not Available |
Full Name | Dr Richard J Cretella |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2400 Round Rock Ave, Round Rock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700978038 | NPI | - | NPPES |
166957402 | Medicaid | TX | |
8B8464 | Other | TX | BC/BS OF TEXAS |
166957401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | L2200 (Texas) | Secondary |
207P00000X | Emergency Medicine | L2200 (Texas) | Primary |
Entity Name | Longhorn Emergency Medical Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649669672 PECOS PAC ID: 4486971041 Enrollment ID: O20150320000152 |
Mailing Address | Practice Location Address |
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Dr Richard J Cretella, MD 310 Mickelson Ln, Georgetown, TX 78628-0913 Ph: () - | Dr Richard J Cretella, MD 2400 Round Rock Ave, Round Rock, TX 78681-4004 Ph: (512) 341-1000 |
Clarke Worley Goodman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-341-1000 | |
Christopher Wallace, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 Fax: 512-218-6330 | |
Kristen Faye Walker, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3341 Winding River Trl, Round Rock, TX 78681 Phone: 325-260-9002 | |
Dr. Peter John Richerson, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Dr. James Porter Mcdonough Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Jordan Scaff, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-341-1000 | |
John Gordon Johnson, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2400 Round Rock Ave, Round Rock, TX 78681 Phone: 512-341-1000 |