| Preston George Smith, MD | |
|
12505 Hymeadow Dr Ste 2c, Austin, TX 78750-1866 | |
| (512) 828-4300 | |
| (512) 341-7370 |
| Full Name | Preston George Smith |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 12505 Hymeadow Dr Ste 2c, Austin, 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 |
|---|---|---|---|
| 1538444674 | NPI | - | NPPES |
| 3732372 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 036135650 (Illinois) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | R2979 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arthritis Relief Centers Pllc | 3274879564 | 5 |
| Sandeep G Mistry Md Pa | 5092899559 | 7 |
| Entity Name | Southwest Medical Imaging Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538134788 PECOS PAC ID: 4688564586 Enrollment ID: O20040316000716 |
| Entity Name | Sandeep G Mistry Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760674253 PECOS PAC ID: 5092899559 Enrollment ID: O20080222000464 |
| Entity Name | Arthritis Relief Centers Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346716669 PECOS PAC ID: 3274879564 Enrollment ID: O20190108000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Preston George Smith, MD 12505 Hymeadow Dr Ste 2c, Austin, TX 78750-1866 Ph: (512) 828-4300 | Preston George Smith, MD 12505 Hymeadow Dr Ste 2c, Austin, TX 78750-1866 Ph: (512) 828-4300 |
Jason R. Wallace, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gregory Connor, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Catherine Suchia Wu, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 4101 James Casey Blvd, #100, Austin, TX 78745 Phone: 512-447-2202 Fax: 512-447-5337 | |
Dr. Michael Troy Harper, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Ian L. Love, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 8038 Mesa Dr, Austin, TX 78731 Phone: 512-901-8748 Fax: 512-901-8755 | |
Dr. Bradley Brenner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12554 Riata Vista Cir, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 | |
Dr. Gordon A. Witwer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 12554 Riata Vista Circle, Austin, TX 78727 Phone: 512-795-5100 Fax: 512-795-5122 |