| Amy Maxwell, MD | |
|
1801 N Oregon St, Radiology Dept, El Paso, TX 79902-3524 | |
| (915) 521-1200 | |
| Not Available |
| Full Name | Amy Maxwell |
|---|---|
| Gender | Female |
| Speciality | Radiology - Body Imaging |
| Location | 1801 N Oregon St, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801821145 | NPI | - | NPPES |
| 127552 | Other | TX | SUPERIOR SSI |
| 85616Y | Other | TX | BCBS |
| MDM3317TX | Other | TX | WORKERS COMP |
| 23404752 | Medicaid | TX | |
| 192080301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | M3317 (Texas) | Primary |
| Entity Name | Professional Radiology PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861918815 PECOS PAC ID: 8628343209 Enrollment ID: O20171006002658 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Maxwell, MD Po Box 277711, Atlanta, GA 30384-7711 Ph: Not Available | Amy Maxwell, MD 1801 N Oregon St, Radiology Dept, El Paso, TX 79902-3524 Ph: (915) 521-1200 |
Teresa Anne Reed, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1400 George Dieter Dr, Ste. 170, El Paso, TX 79936 Phone: 915-921-7855 Fax: 915-921-7866 |
Sylvester D Phifer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10301 Gateway Blvd W, El Paso, TX 79925 Phone: 915-535-9275 |
Claudia Alexandra Jordan Guedes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4815 Alameda Ave, El Paso, TX 79905 Phone: 915-215-6000 Fax: 915-215-5367 |
Dr. Melhem R. Ghaleb, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4815 Alameda Ave, El Paso, TX 79905 Phone: 915-521-7620 Fax: 915-521-7842 |
William M Boushka, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6065 Montana Ave, Bldg A Ste 6, El Paso, TX 79925 Phone: 915-881-1900 Fax: 915-771-9345 |
Dr. Douglas K Woo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5400 Suncrest Dr, Suite B3, El Paso, TX 79912 Phone: 915-581-2130 Fax: 915-581-6940 |
Hae Won Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4815 Alameda Ave, El Paso, TX 79905 Phone: 915-215-6000 Fax: 915-215-5367 |