| Dr James Gregory Vretis Ii, DO | |
|
120 E Harris Ave, San Angelo, TX 76903-5904 | |
| (325) 658-1511 | |
| (325) 481-2166 |
| Full Name | Dr James Gregory Vretis Ii |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 120 E Harris Ave, San Angelo, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184691214 | NPI | - | NPPES |
| 1184691214 | Other | KS | BLUE SHIELD |
| 200372730C | Medicaid | KS | |
| 030052702 | Medicaid | TX | |
| 200607500A | Medicaid | KS | |
| 200607500B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | F4638 (Texas) | Primary |
| 207P00000X | Emergency Medicine | 0531753 (Kansas) | Secondary |
| Entity Name | Shannon Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770587149 PECOS PAC ID: 0840103727 Enrollment ID: O20031222000702 |
| Entity Name | Maverick Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306806781 PECOS PAC ID: 6002878337 Enrollment ID: O20041029000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Gregory Vretis Ii, DO Po Box 22000, San Angelo, TX 76902-7200 Ph: (325) 658-1511 | Dr James Gregory Vretis Ii, DO 120 E Harris Ave, San Angelo, TX 76903-5904 Ph: (325) 658-1511 |
Dr. Yaseen Saleh, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 | |
Dr. Lance Eliot Hafter, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-747-6741 Fax: 325-747-8435 | |
Michael Patrick Strayer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3501 Kinickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Marvin Walter Carroll, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker Rd, San Angelo, TX 76904 Phone: 800-893-9698 | |
Dr. Scott David Hodge, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 120 E Harris Ave, San Angelo, TX 76903 Phone: 325-653-6741 | |
Dr. Samuel Joseph Kasberg, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3501 Knickerbocker, San Angelo Community Medical Center, San Angelo, TX 76904 Phone: 325-947-6960 Fax: 325-947-6968 |