Ryan Jacob Dietert, MD | |
5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 | |
(214) 590-8058 | |
Not Available |
Full Name | Ryan Jacob Dietert |
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Gender | Male |
Speciality | Emergency Medicine |
Experience | 13 Years |
Location | 5201 Harry Hines Blvd, Dallas, 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 |
---|---|---|---|
1770876773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2017020517 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St David's South Austin Medical Center | Austin, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Longhorn Emergency Medical Associates Pa | 4486971041 | 99 |
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 |
Entity Name | Emergency Associates Of Central Texas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215418280 PECOS PAC ID: 6800147216 Enrollment ID: O20180925001294 |
Mailing Address | Practice Location Address |
---|---|
Ryan Jacob Dietert, MD Po Box 660599, Dallas, TX 75266-0599 Ph: (210) 410-8205 | Ryan Jacob Dietert, MD 5201 Harry Hines Blvd, Graduate Medical Education, Dallas, TX 75235-7708 Ph: (214) 590-8058 |
Bradford Stager Commons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235 Phone: 214-590-8058 | |
Dr. Sandeep Guttikonda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-648-3916 Fax: 214-648-8423 | |
Jeffrey Szot, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-2667 | |
Matthew Tice, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-217-1911 | |
Dr. Renjie Michael Li, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13737 Noel Rd, Dallas, TX 75240 Phone: 214-217-1912 | |
Dr. Christian Brewer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-7000 | |
James Pierre D'etienne, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-2505 Fax: 214-712-2487 |