| Samuel Leathen Madson, MD | |
|
1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 | |
| (210) 916-3808 | |
| Not Available |
| Full Name | Samuel Leathen Madson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, 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 |
|---|---|---|---|
| 1699064220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 27143 (Nebraska) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | T9941 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Titus Regional Medical Center | Mount pleasant, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Titus County Hospital District | 0143203257 | 93 |
| Entity Name | Medical Imaging Consultants Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902864366 PECOS PAC ID: 9234122235 Enrollment ID: O20040406000600 |
| Entity Name | Titus County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Leathen Madson, MD 4218 Manitou Bay, San Antonio, TX 78259-2278 Ph: (210) 577-0533 | Samuel Leathen Madson, MD 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236-5638 Ph: (210) 916-3808 |
David James Oettel, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX 78236 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. John Lawton Wright Iii, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Dept Of, Lackland Afb, TX 78236 Phone: 210-381-8290 | |
Dr. Robert M. Dewitt, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 Bergquist Dr, Lackland Afb, TX 78236 Phone: 210-292-5282 |