| David M Rutledge, MD | |
|
7201 Hawkins View Dr Ste 151, Fort Worth, TX 76132-3934 | |
| (817) 263-7200 | |
| (817) 377-6558 |
| Full Name | David M Rutledge |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 7201 Hawkins View Dr Ste 151, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588681183 | NPI | - | NPPES |
| 155123601 | Medicaid | TX | |
| 020054589 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | J8751 (Texas) | Secondary |
| 208600000X | Surgery | 2316 (Wisconsin) | Primary |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Entity Name | Roswell Clinic Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649267618 PECOS PAC ID: 9436062759 Enrollment ID: O20031111000799 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Rutledge, MD Po Box 961205, Fort Worth, TX 76161-1205 Ph: (817) 740-8400 | David M Rutledge, MD 7201 Hawkins View Dr Ste 151, Fort Worth, TX 76132-3934 Ph: (817) 263-7200 |
Amelia Brooke Tower, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Ste 420, Fort Worth, TX 76104 Phone: 817-250-6570 | |
Dr. Travis Corgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 8th Ave, Suite 306, Fort Worth, TX 76104 Phone: 682-224-3748 Fax: 682-841-0039 | |
Robert G Snow, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 2501 Parkview Dr Ste 560, Fort Worth, TX 76102 Phone: 817-850-1100 Fax: 817-850-1104 | |
Mohammad Alqaim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave Ste 200, Fort Worth, TX 76104 Phone: 817-912-8238 | |
Ryan Kostka, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St Fl 2, Fort Worth, TX 76104 Phone: 817-702-3000 Fax: 817-927-3958 | |
Dr. Nabeel M Shabout, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3848 N Tarrant Pkwy Ste 100, Fort Worth, TX 76244 Phone: 817-753-6917 Fax: 817-753-6921 | |
Miss Ruth Ellen Jones, M. D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-7080 Fax: 682-885-7085 |