| Alan K Osumi, MD | |
|
300 El Camino Real, Sierra Vista, AZ 85635-2812 | |
| (520) 417-3104 | |
| (520) 417-3108 |
| Full Name | Alan K Osumi |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 300 El Camino Real, Sierra Vista, Arizona |
| 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 |
|---|---|---|---|
| 1831143247 | NPI | - | NPPES |
| 199647 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 23063 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cobre Valley Regional Medical Center | Globe, AZ | Hospital |
| Lovelace Medical Center | Albuquerque, NM | Hospital |
| Lovelace Women's Hospital | Albuquerque, NM | Hospital |
| Lovelace Westside Hospital | Albuquerque, NM | Hospital |
| Memorial Medical Center | Las cruces, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Imaging Associates Of New Mexico Llc | 4981970233 | 112 |
| Entity Name | Benson Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20180124001944 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
| Entity Name | Imaging Associates Of New Mexico Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629592464 PECOS PAC ID: 4981970233 Enrollment ID: O20200611000082 |
| Mailing Address | Practice Location Address |
|---|---|
| Alan K Osumi, MD Po Box 3099, Cottonwood, AZ 86326-2552 Ph: (928) 634-0665 | Alan K Osumi, MD 300 El Camino Real, Sierra Vista, AZ 85635-2812 Ph: (520) 417-3104 |
Dr. David P Klein, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 155 Calle Portal Suite 500, Sierra Vista, AZ 85635 Phone: 520-459-5227 Fax: 520-459-2191 | |
Michael J Moore, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5151 E. Hwy 90, Sierra Vista, AZ 85635 Phone: 520-803-6644 Fax: 520-544-2943 | |
Janet Marie Nettleton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5151 E Hwy 90, Sierra Vista, AZ 85635 Phone: 520-803-6644 Fax: 520-459-3193 | |
Dr. Kevin Welker, D.O. Radiology Medicare: Medicare Enrolled Practice Location: 155 Calle Portal, Sierra Vista, AZ 85635 Phone: 520-335-6849 Fax: 520-459-2191 | |
Ramesh Vedula, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5151 E Highway 90, Sierra Vista, AZ 85635 Phone: 520-803-6644 Fax: 520-459-3193 |