Shey Kyle Ditto, DO | |
11615 Angus Rd Ste 106, Austin, TX 78759-4064 | |
(512) 436-9986 | |
(512) 436-8295 |
Full Name | Shey Kyle Ditto |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 11615 Angus Rd Ste 106, 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 |
---|---|---|---|
1316387061 | NPI | - | NPPES |
393647801 | Medicaid | TX | |
Q7861 | Other | TX | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | Q7861 (Texas) | Secondary |
202K00000X | Phlebology | Q7861 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Austin Medical Center | Austin, TX | Hospital |
Cedar Park Regional Medical Center | Cedar park, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ditto Surgical, Pllc | 6608148754 | 4 |
Entity Name | Ditto Surgical, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710413554 PECOS PAC ID: 6608148754 Enrollment ID: O20170824000175 |
Entity Name | Lakeline Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316426505 PECOS PAC ID: 7214281492 Enrollment ID: O20181107002405 |
Entity Name | Round Rock Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902264963 PECOS PAC ID: 0648524306 Enrollment ID: O20181119001606 |
Entity Name | Lake Travis Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851803688 PECOS PAC ID: 7315291929 Enrollment ID: O20181120000263 |
Entity Name | Georgetown Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679085401 PECOS PAC ID: 9335483676 Enrollment ID: O20181128000055 |
Mailing Address | Practice Location Address |
---|---|
Shey Kyle Ditto, DO 11615 Angus Rd Ste 106, Austin, TX 78759-4064 Ph: (512) 436-9986 | Shey Kyle Ditto, DO 11615 Angus Rd Ste 106, Austin, TX 78759-4064 Ph: (512) 436-9986 |