| Dr John A Maxwell, MD | |
|
100 Medical Drive, Lake Jackson, TX 77566-5674 | |
| (979) 285-1937 | |
| Not Available |
| Full Name | Dr John A Maxwell |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 100 Medical Drive, Lake Jackson, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902872369 | NPI | - | NPPES |
| P00675466 | Other | TX | RR MEDICARE |
| 116444404 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | J2189 (Texas) | Primary |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | Community Radiology Associates P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174573273 PECOS PAC ID: 9436132529 Enrollment ID: O20040610000177 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20170718001318 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John A Maxwell, MD Po Box 1547, Sedalia, MO 65302-1547 Ph: (660) 826-5960 | Dr John A Maxwell, MD 100 Medical Drive, Lake Jackson, TX 77566-5674 Ph: (979) 285-1937 |
Dr. Zita Marie Witte, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Dr, Dept. Of Radiology, Lake Jackson, TX 77566 Phone: 979-285-1936 | |
Dr. Jonathan M Day, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Dr, Lake Jackson, TX 77566 Phone: 979-297-9664 | |
Dr. Ronald L Brociner, MD Radiology Medicare: Medicare Enrolled Practice Location: 203 Dewberry Dr, Lake Jackson, TX 77566 Phone: 979-297-7364 | |
Dr. Daniel Ray Garlitos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100b Medical Dr, Lake Jackson, TX 77566 Phone: 979-297-9268 Fax: 979-297-9331 | |
Dr. Craig K Freedman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Drive, Lake Jackson, TX 77566 Phone: 979-285-1937 | |
Dr. Amish Mahendra Dave, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Dr, Lake Jackson, TX 77566 Phone: 979-297-4411 |