| Alexander Ryan, MD | |
|
3050 Montvale Dr Ste A, Springfield, IL 62704-6924 | |
| (217) 726-8096 | |
| Not Available |
| Full Name | Alexander Ryan |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 3050 Montvale Dr Ste A, Springfield, Illinois |
| 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 |
|---|---|---|---|
| 1912232422 | NPI | - | NPPES |
| 200002434 | Medicaid | MO | |
| 036131849 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Saint Thomas Hospital | Nashville, TN | Hospital |
| Ascension St John Medical Center | Tulsa, OK | Hospital |
| Research Medical Center | Kansas city, MO | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| Vanderbilt Clarksville Hospital | Clarksville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Concord Radiology Pllc | 8628332061 | 217 |
| Sanford Clinic | 4385882976 | 57 |
| Clinical Radiologists Sc | 3476540873 | 32 |
| Clinical Radiologists Sc | 3476540873 | 32 |
| Clinical Radiologists Sc | 3476540873 | 32 |
| Er Physician Group At Jackson Hospital | 8729059472 | 153 |
| Clinical Radiologists Sc | 3476540873 | 32 |
| Peterson Medical Associates | 1355467887 | 192 |
| Entity Name | Concord Radiology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598260515 PECOS PAC ID: 8628332061 Enrollment ID: O20210507001395 |
| Entity Name | Clinical Radiologists SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063469252 PECOS PAC ID: 3476540873 Enrollment ID: O20210824000990 |
| Entity Name | Sanford Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306641345 PECOS PAC ID: 4385882976 Enrollment ID: O20260106001461 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Ryan, MD 2040 W Iles Ave Ste C, Springfield, IL 62704-4183 Ph: (217) 789-0668 | Alexander Ryan, MD 3050 Montvale Dr Ste A, Springfield, IL 62704-6924 Ph: (217) 726-8096 |
Dr. Christopher John Norbet, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 |
Sandra Scroggins, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-814-5178 Fax: 217-757-6458 |
Dr. Rebecca Nichole Mahon, PHD. DABR Radiology Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 |
Dr. Terence Edward Wade, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |
Kevin Coakley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3050 Montvale Dr Ste A, Springfield, IL 62704 Phone: 217-726-8096 |
Dr. Benjamin Daniel Long, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 800 E Carpenter St, Springfield, IL 62769 Phone: 217-544-6464 |
Danielle Hawthorne, Radiology Medicare: Medicare Enrolled Practice Location: 800 E Carpenter St Box 43, Springfield, IL 62769 Phone: 217-814-5187 Fax: 217-757-6458 |