Scott Kristenson, MD | |
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
(102) 916-4141 | |
Not Available |
Full Name | Scott Kristenson |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285171405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | MD61318617 (Washington) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 2020004310 (Missouri) | Primary |
Entity Name | Tra-minw P S |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396814166 PECOS PAC ID: 2163316167 Enrollment ID: O20220816003734 |
Entity Name | Union Avenue Open Mri Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568531242 PECOS PAC ID: 5597652917 Enrollment ID: O20220927002944 |
Entity Name | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083802946 PECOS PAC ID: 3375603970 Enrollment ID: O20220928000516 |
Mailing Address | Practice Location Address |
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Scott Kristenson, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-4141 | Scott Kristenson, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (102) 916-4141 |
Dr. Michael Day Dullea, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-5046 | |
Dr. Francis Joseph Cloran, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4218 | |
Dr. Emilio Fentanes, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-8414 | |
Dr. Jayanta Krishna Chaudhuri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Anthony Wayne Allen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Brooke Army Medical Center Mche-qd/credentials, Fort Sam Houston, TX 78234 Phone: 210-916-3573 | |
Dr. Aaron Jackson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Bamc- 3851 Roger Brooke Drive, Mche-qd, Fort Sam Houston, TX 78234 Phone: 210-916-2460 | |
Dr. Shane Blake Anderson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Brooke Army Medical Center, Fort Sam Houston, TX 78234 Phone: 210-916-4062 |