| Dr Kenneth D Sack, MD | |
|
3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | |
| (210) 539-9582 | |
| Not Available |
| Full Name | Dr Kenneth D Sack |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063945772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 93041 (South Carolina) | Primary |
| 171000000X | Military Health Care Provider | 93041 (South Carolina) | Secondary |
| Entity Name | Tri-county Surgical Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659661544 PECOS PAC ID: 1658540505 Enrollment ID: O20110810000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth D Sack, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 | Dr Kenneth D Sack, MD 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 |
Dr. Jason Robert Hall, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Dr. Ryan Mcdermott, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Jason Henry Boulter, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500 | |
Dr. Ian S. Mcdougall, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 | |
Geoffrey William Peitz, MD Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-3482 | |
Victor Sabourin, Neurological Surgery Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582 |