| Bassam Al-mamoori, MD | |
|
801 Ostrum St, Bethlehem, PA 18015-1000 | |
| (484) 526-4000 | |
| (706) 653-1230 |
| Full Name | Bassam Al-mamoori |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 801 Ostrum St, Bethlehem, Pennsylvania |
| 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 |
|---|---|---|---|
| 1205173887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD465811 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atlanticare Regional Medical Center | Atlantic city, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Atlantic Medical Imaging | 0345215141 | 103 |
| Atlantic Radiologists Professional Association Llc | 3678621620 | 69 |
| Ami Atlanticare Llc | 7113073263 | 60 |
| Entity Name | Atlantic Medical Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396771556 PECOS PAC ID: 0345215141 Enrollment ID: O20040826000336 |
| Entity Name | Atlantic Radiologists Professional Association Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841438728 PECOS PAC ID: 3678621620 Enrollment ID: O20090430000174 |
| Entity Name | Ami Atlanticare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275762023 PECOS PAC ID: 7113073263 Enrollment ID: O20090915000606 |
| Entity Name | Progressive Physician Assoc Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646859 PECOS PAC ID: 1355243809 Enrollment ID: O20140312000133 |
| Mailing Address | Practice Location Address |
|---|---|
| Bassam Al-mamoori, MD Po Box 678398, Dallas, TX 75267-8398 Ph: (800) 475-6112 | Bassam Al-mamoori, MD 801 Ostrum St, Bethlehem, PA 18015-1000 Ph: (484) 526-4000 |
Dr. Stuart N. Pollack, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 484-526-4000 Fax: 706-653-1230 | |
Lisa M Fedullo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 Brighton St, #303, Bethlehem, PA 18015 Phone: 610-868-1100 Fax: 610-868-1111 | |
Grace Fan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Radiation Oncology Dept, Bethlehem, PA 18015 Phone: 484-526-4841 Fax: 484-526-4671 | |
Dr. Ivan Michael Fras, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum St, Bethlehem, PA 18015 Phone: 610-868-1100 Fax: 610-868-1111 | |
Dr. William W Woodruff, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 95 Highland Ave, Suite 130, Bethlehem, PA 18017 Phone: 610-868-1100 Fax: 610-868-1111 | |
William Harris Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 801 Ostrum Street, Department Of Radiation Oncology, Bethlehem, PA 18015 Phone: 845-641-9461 |