| Jeff D Ethridge, MD | |
|
805 Kelly Creek Rd, Bulverde, TX 78163-3035 | |
| (830) 980-1805 | |
| (830) 438-5662 |
| Full Name | Jeff D Ethridge |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 805 Kelly Creek Rd, Bulverde, 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 |
|---|---|---|---|
| 1154318095 | NPI | - | NPPES |
| 167684801 | Medicaid | TX | |
| 167686808 | Medicaid | TX |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Port lavaca, TX | Hospital |
| Cuero Regional Hospital | Cuero, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Emergency Group Llc | 0345508768 | 21 |
| Ess Of Port Lavaca Llc | 2769766005 | 17 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Hni Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366735169 PECOS PAC ID: 6406028810 Enrollment ID: O20111031000750 |
| Entity Name | Concord Medical Group of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Ess of South Texas LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295128247 PECOS PAC ID: 9739491176 Enrollment ID: O20150629000248 |
| Entity Name | Ess of Port Lavaca LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922546936 PECOS PAC ID: 2769766005 Enrollment ID: O20170303001868 |
| Entity Name | Texas Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699288811 PECOS PAC ID: 0345508768 Enrollment ID: O20171212003035 |
| Entity Name | Ess of Fairfield LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588132856 PECOS PAC ID: 9234475526 Enrollment ID: O20190108000545 |
| Entity Name | Ess of Crockett, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649988635 PECOS PAC ID: 3678942778 Enrollment ID: O20221213000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff D Ethridge, MD 805 Kelly Creek Rd, Bulverde, TX 78163-3035 Ph: (830) 980-1805 | Jeff D Ethridge, MD 805 Kelly Creek Rd, Bulverde, TX 78163-3035 Ph: (830) 980-1805 |
Mr. Ronald Ayers Holliday Jr., FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1781 E Ammann Rd, Bulverde, TX 78163 Phone: 830-228-4219 Fax: 830-251-4477 |
Valorie R Robertson, M. D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2795 Bulverde Rd, Bulverde, TX 78163 Phone: 830-980-2435 Fax: 830-980-4915 |
Mr. Gerardo Alfonso De Sequera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 524 Singing Oaks Ste 200, Bulverde, TX 78070 Phone: 830-620-9429 Fax: 830-620-9495 |
Dr. Michael W Mann, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 32665 Us Highway 281 N, Bulverde, TX 78163 Phone: 830-980-9686 Fax: 830-438-3423 |
Dr. Carlos Eduardo Loya Valencia, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 524 Singing Oaks Ste 311, Bulverde, TX 78070 Phone: 830-214-1688 Fax: 830-212-4513 |
Dr. Thomas Chris Lang, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 32665 Us Highway 281 N, Suite 208, Bulverde, TX 78163 Phone: 830-980-9686 Fax: 830-438-3423 |
Dr. Bruce G. Kinzy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30975 Elise Ann, Bulverde, TX 78163 Phone: 830-980-4660 Fax: 830-438-7646 |