Johnny Shane Ross, MD | |
2000 Medical Dr, Lakeway, TX 78734-4200 | |
(512) 263-4511 | |
(512) 263-4506 |
Full Name | Johnny Shane Ross |
---|---|
Gender | Male |
Speciality | Physical Medicine And Rehabilitation |
Experience | 31 Years |
Location | 2000 Medical Dr, Lakeway, 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 |
---|---|---|---|
1104935030 | NPI | - | NPPES |
0479743 02 | Medicaid | TX | |
142726600 | Other | US DEPARTMENT OF LABOR | |
J6036 | Other | TX | TX LICENSURE MEDICAL BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | J6036 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ngx G Gerber Pc | 8921475138 | 3 |
Entity Name | Johnny Shane Ross Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578694139 PECOS PAC ID: 7618069436 Enrollment ID: O20141007001843 |
Entity Name | Ngx G Gerber Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417688219 PECOS PAC ID: 8921475138 Enrollment ID: O20221101000803 |
Mailing Address | Practice Location Address |
---|---|
Johnny Shane Ross, MD 2101 Headwater Ln, Austin, TX 78746-7858 Ph: (580) 585-0180 | Johnny Shane Ross, MD 2000 Medical Dr, Lakeway, TX 78734-4200 Ph: (512) 263-4511 |
Jeremy Ryan Jones, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Lakeway, TX 78738 Phone: 512-571-5000 Fax: 512-571-5198 | |
Farheen Arshia Khan, D.O Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Pkwy Ste 110, Lakeway, TX 78738 Phone: 512-654-0150 | |
Taylor Aiken, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1915 Lohmans Crossing Rd, Lakeway, TX 78734 Phone: 737-707-2779 | |
Asher Light, M.D. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2000 Medical Dr, Lakeway, TX 78734 Phone: 512-263-4500 Fax: 512-263-4599 | |
Dr. Jennifer Pratt Moody, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2000 Medical Dr, Lakeway, TX 78734 Phone: 512-263-4500 |