| Dr Cody Michael Rissman, MD | |
|
2650 Ridge Ave, Department Of Radiology, Evanston, IL 60201 | |
| (847) 570-2475 | |
| (847) 570-2942 |
| Full Name | Dr Cody Michael Rissman |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 9 Years |
| Location | 2650 Ridge Ave, Evanston, 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 |
|---|---|---|---|
| 1144750456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036159584 (Illinois) | Primary |
| 2085B0100X | Radiology - Body Imaging | 036159584 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Munster, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| St Catherine Hospital Inc | East chicago, IN | Hospital |
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munster Radiology Group Pc | 1951299940 | 26 |
| Munster Radiology Group Pc | 1951299940 | 26 |
| Entity Name | Munster Radiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144207101 PECOS PAC ID: 1951299940 Enrollment ID: O20040310000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cody Michael Rissman, MD 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Dr Cody Michael Rissman, MD 2650 Ridge Ave, Department Of Radiology, Evanston, IL 60201 Ph: (847) 570-2475 |
Dr. Daniel K. West, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Joel Bernstein, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-1206 Fax: 847-570-1248 | |
Dr. Marc J Alonzo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Ali Abbas Al-saraf, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2477 | |
Anupam Basu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201 Phone: 847-570-2000 | |
Dr. Joseph Michael Montalbano, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 2650 Ridge Ave, Department Of Radiology, G507, Evanston, IL 60201 Phone: 847-570-2475 Fax: 847-570-2942 | |
Stefan Ryan Erickson, Radiology Medicare: Accepting Medicare Assignments Practice Location: 355 Ridge Ave, Evanston, IL 60202 Phone: 847-316-4000 |