| David James Oettel, DO | |
|
1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | David James Oettel |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, 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 |
|---|---|---|---|
| 1144434820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | Q6887 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Texas Health Presbyterian Hospital Denton | Denton, TX | Hospital |
| Texas Health Presbyterian Hospital Plano | Plano, TX | Hospital |
| Texas Health Presbyterian Hospital Flower Mound | Flower mound, TX | Hospital |
| Texas Health Harris Methodist Hospital Alliance | Fort worth, TX | Hospital |
| Methodist Richardson Medical Center | Richardson, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utmb Faculty Group Practice | 3375456734 | 948 |
| Texas Radiology Associates Llp | 3779578000 | 147 |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Entity Name | Texas Radiology Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016161 PECOS PAC ID: 3779578000 Enrollment ID: O20040422001470 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20081103000272 |
| Entity Name | Titus County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
| Entity Name | Coastal Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144270307 PECOS PAC ID: 8224002696 Enrollment ID: O20171009001423 |
| Entity Name | Imaging Associates Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164943007 PECOS PAC ID: 9537434386 Enrollment ID: O20171012000584 |
| Entity Name | Radiology Associates Of Southwest Louisiana |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033215710 PECOS PAC ID: 0941243562 Enrollment ID: O20190220000434 |
| Entity Name | Empire State Radiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255962783 PECOS PAC ID: 4385075241 Enrollment ID: O20200512002988 |
| Entity Name | Greensboro Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821035999 PECOS PAC ID: 8729074901 Enrollment ID: O20200803002210 |
| Entity Name | Adi Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083266761 PECOS PAC ID: 7911236427 Enrollment ID: O20210728001713 |
| Mailing Address | Practice Location Address |
|---|---|
| David James Oettel, DO 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 Ph: (210) 292-5282 | David James Oettel, DO 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 Ph: (952) 595-1100 |
Dr. John Lawton Wright Iii, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Dept Of, Lackland Afb, TX 78236 Phone: 210-381-8290 | |
Samuel Leathen Madson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236 Phone: 210-916-3808 | |
Dr. Robert M. Dewitt, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Lackland Afb, TX 78236 Phone: 210-292-5282 |