| Dr John L Ritter, MD | |
|
3551 Roger Brooke Dr, Quality Services/7th Floor, Attn: Mche-zqq, Jbsa Ft Sam Houston, TX 78234 | |
| (210) 916-4218 | |
| Not Available |
| Full Name | Dr John L Ritter |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, 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 |
|---|---|---|---|
| 1013187772 | NPI | - | NPPES |
| 212085901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | ME 87213 (Florida) | Secondary |
| 2085N0700X | Radiology - Neuroradiology | L8173 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shannon Medical Center | San angelo, TX | Hospital |
| Heart Of Texas Memorial Hospital | Brady, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shannon Clinic | 0840103727 | 465 |
| 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 | Maniilaq Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861698805 PECOS PAC ID: 6103881792 Enrollment ID: O20041123000372 |
| Entity Name | Maniilaq Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1316995210 PECOS PAC ID: 6103881792 Enrollment ID: O20120119000556 |
| Entity Name | Mountain Medical Physician Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720035520 PECOS PAC ID: 5294639407 Enrollment ID: O20190606001153 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John L Ritter, MD 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 Ph: (210) 916-4218 | Dr John L Ritter, MD 3551 Roger Brooke Dr, Quality Services/7th Floor, Attn: Mche-zqq, Jbsa Ft Sam Houston, TX 78234 Ph: (210) 916-4218 |
Robert Moore, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Mche/ Me, Jbsa Ft Sam Houston, TX 78234 Phone: 210-513-0984 | |
Matthew Aaron Freeman, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-228-7035 | |
Jacob Willard Musiol, Radiology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-220-7709 | |
Dr. Horace Hayes Ii, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-228-6238 | |
Douglas Mathis, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr Apt 7, Jbsa Ft Sam Houston, TX 78234 Phone: 210-916-4218 | |
Tylor Connor, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234 Phone: 210-220-7991 |