| Shey Kyle Ditto, DO | |
|
11615 Angus Rd Ste 106, Austin, TX 78759-4064 | |
| (512) 436-9986 | |
| (512) 436-8295 |
| Full Name | Shey Kyle Ditto |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 11615 Angus Rd Ste 106, 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 |
|---|---|---|---|
| 1316387061 | NPI | - | NPPES |
| 393647801 | Medicaid | TX | |
| Q7861 | Other | TX | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | Q7861 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Austin Medical Center | Austin, TX | Hospital |
| St David's South Austin Medical Center | Austin, TX | Hospital |
| Cedar Park Regional Medical Center | Cedar park, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ditto Surgical, Pllc | 6608148754 | 5 |
| Entity Name | Ditto Surgical, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710413554 PECOS PAC ID: 6608148754 Enrollment ID: O20170824000175 |
| Entity Name | Lake Travis Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851803688 PECOS PAC ID: 7315291929 Enrollment ID: O20181120000263 |
| Entity Name | Georgetown Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679085401 PECOS PAC ID: 9335483676 Enrollment ID: O20181128000055 |
| Mailing Address | Practice Location Address |
|---|---|
| Shey Kyle Ditto, DO 11615 Angus Rd Ste 106, Austin, TX 78759-4064 Ph: (512) 436-9986 | Shey Kyle Ditto, DO 11615 Angus Rd Ste 106, Austin, TX 78759-4064 Ph: (512) 436-9986 |
Julie Mckenzie Sprunt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 W 38th St Ste 300, Austin, TX 78705 Phone: 512-421-4100 Fax: 512-419-0924 | |
Adriana Elisa Castro, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11615 Angus Rd Ste 106, Austin, TX 78759 Phone: 512-630-0070 Fax: 512-436-8295 | |
Kevin P O'farrell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6811 Austin Center Blvd # 300, Austin, TX 78731 Phone: 512-344-0368 Fax: 512-344-0335 | |
Mark Raymond Lindsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3901 Medical Pkwy, Suite 200, Austin, TX 78756 Phone: 512-467-7151 Fax: 512-467-8809 | |
Jose L Bravo, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 313 E 12th St Ste 100, Austin, TX 78701 Phone: 512-324-8960 Fax: 512-324-8962 | |
Kaylyn Barrett, Surgery Medicare: Medicare Enrolled Practice Location: 1501 Red River St Fl 2, Austin, TX 78712 Phone: 512-495-5555 | |
Charlie P Ross, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2911 Medical Arts St, Bldg 2 Attn: Austin Surgical Clinic Assn, Austin, TX 78705 Phone: 512-478-3402 Fax: 512-478-7114 |