| Brett Heller, | |
|
2330 Utah Ave, El Segundo, CA 90245-4817 | |
| (877) 276-9842 | |
| Not Available |
| Full Name | Brett Heller |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 11 Years |
| Location | 2330 Utah Ave, El Segundo, California |
| 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 |
|---|---|---|---|
| 1942662705 | NPI | - | NPPES |
| 317343 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | TM2023-1033 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Las cruces, NM | Hospital |
| Carlsbad Medical Center | Carlsbad, NM | Hospital |
| Las Palmas Medical Center A Campus Of Lpds Healthc | El paso, TX | Hospital |
| Hartford Hospital | Hartford, CT | Hospital |
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Connecticut Imaging Partners Llc | 4183649098 | 105 |
| Connecticut Imaging Partners Llc | 4183649098 | 105 |
| Jefferson Radiology Pc | 8729982525 | 121 |
| Sonoran Radiology Ltd | 3375964505 | 466 |
| Imaging Associates Of New Mexico Llc | 4981970233 | 164 |
| Empire State Radiology P C | 4385075241 | 266 |
| Golden State Imaging Associates Inc | 1254761315 | 242 |
| Singleton Associates Pa | 6305731118 | 814 |
| Singleton Associates Pa | 6305731118 | 814 |
| Eagle Partners, Pllc | 9032205752 | 170 |
| Eagle Partners, Pllc | 9032205752 | 170 |
| Jefferson Radiology Pc | 8729982525 | 121 |
| Singleton Associates Pa | 6305731118 | 814 |
| Entity Name | Jefferson Radiology PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
| Entity Name | Connecticut Imaging Partners LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20051011000041 |
| Entity Name | Tic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
| Entity Name | Farmington Imaging Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20161028000552 |
| Mailing Address | Practice Location Address |
|---|---|
| Brett Heller, Po Box 207172, Dallas, TX 75320-7172 Ph: Not Available | Brett Heller, 2330 Utah Ave, El Segundo, CA 90245-4817 Ph: (877) 276-9842 |
Mariam Wassef Hanna, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |
Nicholas D'alesio, DO, MPH Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |
Dr. David Lewis Lamar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |
Nisha Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |
Dustin Lee Meyer, DO Radiology Medicare: Medicare Enrolled Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |
Christopher Tournade, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |
Dr. Katie Jo Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |