| Jon Sampson Hitchcock, DO | |
|
3339 Ashberry Falls Ln, Porter, TX 77365-6689 | |
| (931) 212-4412 | |
| Not Available |
| Full Name | Jon Sampson Hitchcock |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 11 Years |
| Location | 3339 Ashberry Falls Ln, Porter, 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 |
|---|---|---|---|
| 1134502008 | NPI | - | NPPES |
| 400512603 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | R0089 (Oklahoma) | Secondary |
| 207P00000X | Emergency Medicine | R3102 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hermann Hospital System | Houston, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hermann Hospital Based Physician Group | 4385075480 | 236 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Memorial Hermann Hospital Based Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295363497 PECOS PAC ID: 4385075480 Enrollment ID: O20200505001521 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Sampson Hitchcock, DO 3339 Ashberry Falls Ln, Porter, TX 77365-6689 Ph: (931) 212-4412 | Jon Sampson Hitchcock, DO 3339 Ashberry Falls Ln, Porter, TX 77365-6689 Ph: (931) 212-4412 |
Dr. Lieu Ngo Duran, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 22678 Highway 59, Porter, TX 77365 Phone: 281-354-4654 | |
Dr. Gayana Grigoryan Roland, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 21898 Fm 1314 Rd # B, Porter, TX 77365 Phone: 281-354-2417 | |
Stevley Koshy, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24770 Stowbridge Dr Apt 6201, Porter, TX 77365 Phone: 713-206-0153 |