| Dr Benjamin Memmott, DO | |
|
3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | |
| (210) 916-5545 | |
| Not Available |
| Full Name | Dr Benjamin Memmott |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 3551 Roger Brooke Dr, Jbsa Ft 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 |
|---|---|---|---|
| 1043895691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | T9745 (Texas) | Primary |
| Entity Name | Telehealth Clinical Evals, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346868387 PECOS PAC ID: 2860816725 Enrollment ID: O20200724000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Memmott, DO 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-5545 | Dr Benjamin Memmott, DO 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-5545 |
James White, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-8666 | |
Steven Todd Stoffel, DO General Practice Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-5910 Fax: 210-916-2077 | |
Tyler Doty, DO General Practice Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-5545 | |
Alan Hans, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Saushec Emergency Medicine Residency, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-6129 | |
Nicole Morgan Weisman, DO General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-1154 | |
Jacob Tindle, General Practice Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-539-5545 |