| Judson Malcome Severson, DO | |
|
900 Scott And White Dr, College Station, TX 77845-6419 | |
| (979) 207-7400 | |
| Not Available |
| Full Name | Judson Malcome Severson |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 23 Years |
| Location | 900 Scott And White Dr, College Station, 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 |
|---|---|---|---|
| 1801093877 | NPI | - | NPPES |
| P00799975 | Other | TX | RAILROAD MEDICARE # |
| 198296908 | Medicaid | TX | |
| 198296904 | Medicaid | TX | |
| 198296905 | Medicaid | TX | |
| 8DE548 | Other | TX | BC/BS# |
| 198296903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | M3384 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Liberty Dialysis Brenham Llc | Brenham, TX | Dialysis facility |
| Us Renal Care Bryan Dialysis | Bryan, TX | Dialysis facility |
| Liberty Dialysis Bryan | Bryan, TX | Dialysis facility |
| Liberty Dialysis College Station | College station, TX | Dialysis facility |
| Gambro Healthcare Rock Prairie Road | College station, TX | Dialysis facility |
| Baylor Scott & White Medical Center- College Stati | College station, TX | Hospital |
| Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2276 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Judson Malcome Severson, DO Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Judson Malcome Severson, DO 900 Scott And White Dr, College Station, TX 77845-6419 Ph: (979) 207-7400 |
Joseph Jason Roman, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd, Suite 4880, College Station, TX 77845 Phone: 979-796-1111 Fax: 979-764-1164 | |
Rajpreet Kaur Singh, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1725 Birmingham Rd Ste 200, College Station, TX 77845 Phone: 979-696-8000 Fax: 979-696-8100 | |
Dr. Natraj Aiyappan Shanmugam, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Prairie Rd, Suite 210, College Station, TX 77845 Phone: 979-696-5663 Fax: 979-694-1319 | |
Kaycee Leigh Weaver, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 700 Scott And White Dr, College Station, TX 77845 Phone: 979-207-0100 | |
Dr. Daniel Philip Stagg Iii, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 900 Scott And White Dr, College Station, TX 77845 Phone: 979-207-7400 | |
Ian Craig Reinemeyer, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1700 University Dr E, College Station, TX 77840 Phone: 979-691-3300 Fax: 979-691-3527 | |
Dr. James Vaull Bonds Jr., MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1602 Rock Praire Road #320, College Station, TX 77845 Phone: 979-764-7983 |