| Carl W Fieser, MD | |
|
2004 1st Ave, Ste A, Dodge City, KS 67801-2623 | |
| (620) 225-1033 | |
| (620) 227-8491 |
| Full Name | Carl W Fieser |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 55 Years |
| Location | 2004 1st Ave, Dodge City, Kansas |
| 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 |
|---|---|---|---|
| 1316990849 | NPI | - | NPPES |
| 100204750B | Medicaid | KS | |
| 200487030A | Medicaid | OK | |
| 91161182 | Medicaid | CO | |
| KA1172003 | Other | KS | MEDICARE |
| CO40688 | Other | CO | MEDICARE COLORADO |
| 6750056 | Medicaid | CO | |
| KA1173003 | Other | KS | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 04-16118 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Deaconess Medical Center | Spokane, WA | Hospital |
| Multicare Valley Hospital | Spokane, WA | Hospital |
| Capital Medical Center | Olympia, WA | Hospital |
| San Ramon Regional Medical Center | San ramon, CA | Hospital |
| El Camino Hospital | Mountain view, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Silicon Valley Diagnostic Imaging Inc | 5496838518 | 70 |
| Multicare Health System | 7719899897 | 1815 |
| Entity Name | Silicon Valley Diagnostic Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629265806 PECOS PAC ID: 5496838518 Enrollment ID: O20080213000359 |
| Entity Name | Adi Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083266761 PECOS PAC ID: 7911236427 Enrollment ID: O20210729001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl W Fieser, MD 2004 1st Ave, Ste A, Dodge City, KS 67801-2623 Ph: (620) 225-1033 | Carl W Fieser, MD 2004 1st Ave, Ste A, Dodge City, KS 67801-2623 Ph: (620) 225-1033 |
Niranjan K Parekh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 116 W Ross Blvd, Dodge City, KS 67801 Phone: 620-227-2482 Fax: 620-227-6630 |