| Dr John Randall Mcintire, MD | |
|
700 Medical Pkwy, Brenham, TX 77833-5413 | |
| (979) 337-5000 | |
| (979) 830-2244 |
| Full Name | Dr John Randall Mcintire |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 49 Years |
| Location | 700 Medical Pkwy, Brenham, 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 |
|---|---|---|---|
| 1285637363 | NPI | - | NPPES |
| 70343 | Other | TX | AMERIGROUP |
| 100656103 | Medicaid | TX | |
| 102776 | Other | TX | SUPERIOR CHIPS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | E8707 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2426 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Scott & White Hospital Brenham |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154315307 PECOS PAC ID: 5799719787 Enrollment ID: O20210706001333 |
| Entity Name | Scott & White Hospital Brenham |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295464949 PECOS PAC ID: 5799719787 Enrollment ID: O20220719002610 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Randall Mcintire, MD Po Box 844658, Dallas, TX 75284-4658 Ph: Not Available | Dr John Randall Mcintire, MD 700 Medical Pkwy, Brenham, TX 77833-5413 Ph: (979) 337-5000 |
Dr. Donald M Sumerlin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5921 Sander Rd, Brenham, TX 77833 Phone: 979-836-1758 |
Dr. Mark I. Robbins, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10281 Kettler Rd, Brenham, TX 77833 Phone: 512-903-5102 Fax: 724-933-6536 |