| Dr Gustavo Diaz-reyes, MD | |
|
4100 Everett Dr, Suite 400, Kyle, TX 78640-6146 | |
| (512) 295-1333 | |
| (512) 406-7327 |
| Full Name | Dr Gustavo Diaz-reyes |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 35 Years |
| Location | 4100 Everett Dr, Kyle, 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 |
|---|---|---|---|
| 1588652168 | NPI | - | NPPES |
| 364332202 | Medicaid | TX | |
| 02634339 | Medicaid | NY | |
| 364332201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 234797 (New York) | Secondary |
| 207Y00000X | Otolaryngology | Q9332 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Seton Hays | Kyle, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Austin Regional Clinic Pa | 3072507789 | 346 |
| Entity Name | Austin Regional Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821157579 PECOS PAC ID: 3072507789 Enrollment ID: O20040414000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gustavo Diaz-reyes, MD 6210 E Hwy 290, Austin, TX 78723-1142 Ph: (512) 483-9596 | Dr Gustavo Diaz-reyes, MD 4100 Everett Dr, Suite 400, Kyle, TX 78640-6146 Ph: (512) 295-1333 |
Seth H Evans, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 211 Elmhurst Ste D, Kyle, TX 78640 Phone: 512-550-0321 Fax: 512-268-4600 | |
Mark O Dammert, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1180 Seton Pkwy, Suite 420, Kyle, TX 78640 Phone: 512-268-5282 Fax: 512-268-5769 |