| Dustin Simpson, MD | |
|
1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 | |
| (210) 292-6225 | |
| Not Available |
| Full Name | Dustin Simpson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 1100 Wilford Hall Loop, Bldg 4554, Jbsa Lackland, 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 |
|---|---|---|---|
| 1710285630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 65116-20 (Wisconsin) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | R7893 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Door County Medical Center | Sturgeon bay, WI | Hospital |
| St Vincent Hospital | Green bay, WI | Hospital |
| St Mary's Hospital Medical Center | Green bay, WI | Hospital |
| St Nicholas Hospital | Sheboygan, WI | Hospital |
| Hshs St Clare Memorial Hospital | Oconto falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of The Fox Valley Sc | 0446152748 | 41 |
| Gbr Sheboygan Llc | 1951341064 | 22 |
| St Vincent Hospital-hospital Sisters-third Order Of St Francis | 5799694675 | 567 |
| Green Bay Radiology Sc | 7113908310 | 23 |
| St. Nicholas Hospital-sisters Of The Third Order Of St Francis | 8325931652 | 157 |
| Radiology Associates Of The Fox Valley Sc | 0446152748 | 41 |
| Gbr Sheboygan Llc | 1951341064 | 22 |
| Green Bay Radiology Sc | 7113908310 | 23 |
| Entity Name | Radiology Associates Of The Fox Valley Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477539443 PECOS PAC ID: 0446152748 Enrollment ID: O20040127000011 |
| Entity Name | St. Nicholas Hospital-sisters Of The Third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172 |
| Entity Name | Group Health Cooperative Of South Central Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245260165 PECOS PAC ID: 3870489586 Enrollment ID: O20040227000306 |
| Entity Name | Green Bay Radiology Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447327986 PECOS PAC ID: 7113908310 Enrollment ID: O20040525000803 |
| Entity Name | Gbr Sheboygan Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467529917 PECOS PAC ID: 1951341064 Enrollment ID: O20050509000490 |
| Entity Name | St Vincent Hospital-hospital Sisters-third Order Of St Francis |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423 |
| Entity Name | Professional Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043348014 PECOS PAC ID: 0941298764 Enrollment ID: O20180605003561 |
| Entity Name | West Valley Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265486427 PECOS PAC ID: 1658266622 Enrollment ID: O20180917001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Dustin Simpson, MD 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236-9908 Ph: (210) 292-6225 | Dustin Simpson, MD 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Ph: (210) 292-6225 |
Dr. Hannah Ghong-ju Ahn, MD Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4482 | |
Kyle James Stevens, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-228-6921 | |
Dr. Christopher James Atkinson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225 | |
Jennifer Berrie Henning, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-2931 | |
Charles Nicolas Crain, Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 | |
Steven Robert Hole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-539-9582 | |
Dr. Kara M Van De Kieft, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225 |