| Clint Gerdes, MD | |
|
2401 S 31st St, Temple, TX 76508-0001 | |
| (254) 724-2111 | |
| Not Available |
| Full Name | Clint Gerdes |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 2401 S 31st St, Temple, 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 |
|---|---|---|---|
| 1073582052 | NPI | - | NPPES |
| 247421 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD27055 (Oregon) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | N0783 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Campbell County Health | Gillette, WY | Hospital |
| Wyoming Medical Center | Casper, WY | Hospital |
| Community Hospital | Torrington, WY | Hospital |
| Platte County Memorial Hospital | Wheatland, WY | Hospital |
| Cody Regional Health | Cody, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Casper Medical Imaging Pc | 8224010871 | 20 |
| Casper Medical Imaging Pc | 8224010871 | 20 |
| Outpatient Radiology Llc | 8628051596 | 13 |
| Casper Medical Imaging Pc | 8224010871 | 20 |
| Outpatient Radiology Llc | 8628051596 | 13 |
| Entity Name | Medford Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20201012002917 |
| Entity Name | Radia Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20220902000393 |
| Entity Name | Evergreen Radia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922095694 PECOS PAC ID: 4587568076 Enrollment ID: O20221202000482 |
| Entity Name | South Sound Radiologists Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902990500 PECOS PAC ID: 1254229305 Enrollment ID: O20221203000061 |
| Entity Name | Swedish Radia Imaging Center At Edmonds Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164494373 PECOS PAC ID: 5496778292 Enrollment ID: O20221203000147 |
| Entity Name | Radia Imaging Center Holdings Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639653017 PECOS PAC ID: 6305182965 Enrollment ID: O20221205001634 |
| Entity Name | Radia California Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20230908001509 |
| Entity Name | Tower Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023315074 PECOS PAC ID: 2163608688 Enrollment ID: O20230910000015 |
| Entity Name | Radia Oregon Radiology Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073385423 PECOS PAC ID: 2961852637 Enrollment ID: O20240129003506 |
| Entity Name | Advanced Imaging Of South Bay Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003866914 PECOS PAC ID: 8628080520 Enrollment ID: O20240325003814 |
| Entity Name | Casper Medical Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316908940 PECOS PAC ID: 8224010871 Enrollment ID: O20240327004068 |
| Mailing Address | Practice Location Address |
|---|---|
| Clint Gerdes, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Clint Gerdes, MD 2401 S 31st St, Temple, TX 76508-0001 Ph: (254) 724-2111 |
Dr. Mehul Kirit Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 248-797-3593 | |
Dr. Krista Lynn Birkemeier, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Christina Jeong, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Robert Edward Smith, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Connie Carmen So, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 | |
Dr. Bryn Putbrese, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2401 S 31st St, Temple, TX 76508 Phone: 254-724-2111 |