| Dr Scott Ryan Dalton, DO | |
|
2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236 | |
| (415) 264-4136 | |
| Not Available |
| Full Name | Dr Scott Ryan Dalton |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 27 Years |
| Location | 2200 Bergquist Dr, Lackland Afb, 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 |
|---|---|---|---|
| 1497725576 | NPI | - | NPPES |
| 400786602 | Other | TX | CSHCN |
| 1497725576 | Other | MILITARY | |
| 400786601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M9238 (Texas) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | M9238 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sagis Pllc | 3274797212 | 22 |
| Stephen Miller Md Pa | 6800837659 | 12 |
| Entity Name | The University Of Texas Health Science Center At San Antonio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720051717 PECOS PAC ID: 0042128548 Enrollment ID: O20040607000664 |
| Entity Name | Stephen Miller Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073584421 PECOS PAC ID: 6800837659 Enrollment ID: O20050521000104 |
| Entity Name | J.s. Wilkenfeld, Md & Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871630509 PECOS PAC ID: 7618934662 Enrollment ID: O20081006000031 |
| Entity Name | Sagis Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548549066 PECOS PAC ID: 3274797212 Enrollment ID: O20120604000295 |
| Entity Name | Alliance Pathology Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699707943 PECOS PAC ID: 9234156688 Enrollment ID: O20170112002023 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Scott Ryan Dalton, DO 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236 Ph: (415) 264-4136 | Dr Scott Ryan Dalton, DO 2200 Bergquist Dr, Suite 1, Lackland Afb, TX 78236 Ph: (415) 264-4136 |
Dr. Bart O Iddins, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, Lackland Afb, TX 78236 Phone: 210-292-7351 |