| Kevin D Shoults, MD | |
|
5330 Overpass Rd Ste 110, Buda, TX 78610-2300 | |
| (737) 999-6200 | |
| (737) 999-6201 |
| Full Name | Kevin D Shoults |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 33 Years |
| Location | 5330 Overpass Rd Ste 110, Buda, 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 |
|---|---|---|---|
| 1568461226 | NPI | - | NPPES |
| 036093083 | Medicaid | IL | |
| 04932058 | Other | IL | BLUE SHIELD OF ILLINOIS |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center- Austin | Austin, TX | Hospital |
| Baylor Scott & White Medical Center Buda | Buda, 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 |
|---|---|
| Kevin D Shoults, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Kevin D Shoults, MD 5330 Overpass Rd Ste 110, Buda, TX 78610-2300 Ph: (737) 999-6200 |
Ty Terrasso, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5330 Overpass Rd Ste 110, Buda, TX 78610 Phone: 737-999-6200 | |
Ryan Christopher Toney, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5330 Overpass Rd Ste 110, Buda, TX 78610 Phone: 737-999-6200 | |
Dr. David Tehwei Yew, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5330 Overpass Rd Ste 110, Buda, TX 78610 Phone: 737-999-6200 Fax: 737-999-6201 |