| Dylan Supak Matzke, | |
|
800 Scott And White Dr, College Station, TX 77845-6440 | |
| (979) 207-4000 | |
| Not Available |
| Full Name | Dylan Supak Matzke |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 6 Years |
| Location | 800 Scott And White Dr, College Station, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538788732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | V9938 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| St Joseph Regional Health Center | Bryan, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2442 |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan Supak Matzke, Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Dylan Supak Matzke, 800 Scott And White Dr, College Station, TX 77845-6440 Ph: (979) 207-4000 |
Dr. David L. Scott, M.D., P.H.D. Urology Medicare: Medicare Enrolled Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4000 Fax: 979-207-4562 | |
Dr. Timothy John Ruddell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4000 | |
Robert Wesley Hathorn, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 800 Scott And White Dr, College Station, TX 77845 Phone: 979-207-4000 |