Jason R Wallace, MD | |
12554 Riata Vista Circle, Austin, TX 78727-6432 | |
(512) 795-5100 | |
(512) 795-5122 |
Full Name | Jason R Wallace |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 12554 Riata Vista Circle, Austin, 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 |
---|---|---|---|
1013028612 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085B0100X | Radiology - Body Imaging | MD00046651 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | M9727 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Seton Northwest Hospital | Austin, TX | Hospital |
Seton Medical Center Williamson | Round rock, TX | Hospital |
Round Rock Medical Center | Round rock, TX | Hospital |
St David's Medical Center | Austin, TX | Hospital |
North Austin Medical Center | Austin, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Austin Radiological Association | 4880686179 | 114 |
Singleton Associates Pa | 6305731118 | 681 |
Entity Name | Singleton Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
Entity Name | Austin Radiological Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033196464 PECOS PAC ID: 4880686179 Enrollment ID: O20040330000453 |
Mailing Address | Practice Location Address |
---|---|
Jason R Wallace, MD 12554 Riata Vista Circle, Austin, TX 78727-6432 Ph: (512) 795-5100 | Jason R Wallace, MD 12554 Riata Vista Circle, Austin, TX 78727-6432 Ph: (512) 795-5100 |
Dr. Gregory Connor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Catherine Suchia Wu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4101 James Casey Blvd, #100, Austin, TX 78745 Phone: 512-447-2202 Fax: 512-447-5337 | |
Dr. Michael Troy Harper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Ian L. Love, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8038 Mesa Dr, Austin, TX 78731 Phone: 512-901-8748 Fax: 512-901-8755 | |
Dr. Bradley Brenner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gordon A. Witwer, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 |