| Dr Jack W Rostas Iii, MD | |
|
4101 22nd Pl, Lubbock, TX 79410-1121 | |
| (806) 799-7928 | |
| (806) 788-8560 |
| Full Name | Dr Jack W Rostas Iii |
|---|---|
| Gender | Male |
| Speciality | Surgical Oncology |
| Experience | 17 Years |
| Location | 4101 22nd Pl, Lubbock, 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 |
|---|---|---|---|
| 1902063282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086X0206X | Surgery - Surgical Oncology | 036143962 (Illinois) | Secondary |
| 2086X0206X | Surgery - Surgical Oncology | T5200 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Covenant Childrens Hospital | Lubbock, TX | Hospital |
| Covenant Medical Center | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swat Surgical Associates Llp | 1355371832 | 13 |
| Entity Name | Swat Surgical Associates Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740219724 PECOS PAC ID: 1355371832 Enrollment ID: O20050815000537 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack W Rostas Iii, MD 3509 22nd St, Lubbock, TX 79410-1307 Ph: (806) 799-7928 | Dr Jack W Rostas Iii, MD 4101 22nd Pl, Lubbock, TX 79410-1121 Ph: (806) 799-7928 |
Tabitha Threatt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-743-2373 Fax: 806-743-4354 | |
Ted W Allen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560 | |
Sammy Anthony Deeb, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3509 22nd St, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8500 | |
Monja L Proctor, MD Surgery Medicare: Medicare Enrolled Practice Location: 4102 22nd Pl, Lubbock, TX 79410 Phone: 806-725-0237 Fax: 806-725-1030 | |
Dr. Brittany Kay Bankhead, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2373 Fax: 806-743-4354 | |
Shirley Yuen Man Hui, MD Surgery Medicare: Medicare Enrolled Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2373 Fax: 806-743-4354 | |
Adam Purtell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560 |