| Dr Alex Dibona, MD | |
|
171 Ashley Ave, Charleston, SC 29425-4411 | |
| (843) 792-1414 | |
| Not Available |
| Full Name | Dr Alex Dibona |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 171 Ashley Ave, Charleston, South Carolina |
| 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 |
|---|---|---|---|
| 1215017827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD29245 (South Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD29245 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Medical Center | Charleston, SC | Hospital |
| Providence Health | Columbia, SC | Hospital |
| Kershawhealth | Camden, SC | Hospital |
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Radiology Associates Llc | 4486555398 | 377 |
| Musc Community Physicians | 6507260668 | 1322 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20040115000095 |
| Entity Name | Georgia Radiology Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124256540 PECOS PAC ID: 6901028174 Enrollment ID: O20141104001866 |
| Entity Name | S&s Imaging Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689262347 PECOS PAC ID: 8527474733 Enrollment ID: O20210315000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Alex Dibona, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-1414 | Dr Alex Dibona, MD 171 Ashley Ave, Charleston, SC 29425-4411 Ph: (843) 792-1414 |
Dr. Richard Hayden Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Sai Kiran Gudla, Radiology Medicare: Medicare Enrolled Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-2575 | |
Karen L Spodarek, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2154 Fax: 843-805-6277 | |
Johnny Phillips Campbell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-724-2988 | |
Breanna Marie Koetter, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Nancy Curry, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Donna Rae Roberts, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |