| Ashley Northcutt, | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (210) 916-3765 | |
| Not Available |
| Full Name | Ashley Northcutt |
|---|---|
| Gender | Female |
| Speciality | Surgery |
| 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 |
|---|---|---|---|
| 1538370952 | NPI | - | NPPES |
| 938555 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 49254 (Arizona) | Secondary |
| 2086S0102X | Surgery - Surgical Critical Care | S4034 (Texas) | Secondary |
| 208600000X | Surgery | S4034 (Texas) | Primary |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Entity Name | Texas Tech University Health Sciences Center Lubbock |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Northcutt, File 56765, Los Angeles, CA 90074-6769 Ph: (602) 406-3860 | Ashley Northcutt, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 916-3765 |
Dr. George Earl Peoples Jr., M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4235 Fax: 210-916-5102 | |
Dr. Jeremy Tyler Bolin, MD Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Penelope Anne Herder, DO Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Tommy Alan Brown Ii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3400 | |
Dr. Pamela Christine Masella, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-0393 | |
Dr. Bradley A Rittenhouse, MD Surgery Medicare: Medicare Enrolled Practice Location: Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Justin Jay Sleeter, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa, Fort Sam Houston, TX 78234 Phone: 210-916-0439 |