| Dr Andrew Paul Thierry, MD | |
|
1112 Montana Ave Ste 392, Santa Monica, CA 90403-1652 | |
| (310) 740-6544 | |
| Not Available |
| Full Name | Dr Andrew Paul Thierry |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1112 Montana Ave Ste 392, Santa Monica, 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 |
|---|---|---|---|
| 1184814006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301086271 (Michigan) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A112782 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Washington Hospital | Fremont, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Serra Community Medical Clinic Inc | 6204732928 | 22 |
| Washington Radiologists Medical Group Inc | 6305927245 | 52 |
| Entity Name | Serra Community Medical Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275545725 PECOS PAC ID: 6204732928 Enrollment ID: O20031211000772 |
| Entity Name | Washington Radiologists Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851355622 PECOS PAC ID: 6305927245 Enrollment ID: O20080116000567 |
| Entity Name | Surgical Imaging Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366521767 PECOS PAC ID: 7214915685 Enrollment ID: O20181213002421 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Andrew Paul Thierry, MD 1112 Montana Ave Ste 392, Santa Monica, CA 90403-1652 Ph: (310) 740-6544 | Dr Andrew Paul Thierry, MD 1112 Montana Ave Ste 392, Santa Monica, CA 90403-1652 Ph: (310) 740-6544 |
Dr. Monica Sudhir Deshmukh, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 Ocean Front Walk, Apt 415, Santa Monica, CA 90401 Phone: 609-313-4191 | |
Dr. Oscar E Streeter Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2811 Wilshire Blvd, Suite 860, Santa Monica, CA 90403 Phone: 888-580-5900 Fax: 877-400-8093 | |
Vicki L. Schiller, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2202 Wilshire Blvd, Santa Monica, CA 90403 Phone: 310-264-9000 Fax: 310-264-9004 | |
Dr. Seyed H Shahrokni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2428 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-315-1000 | |
Lloyd David Wagner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 223 24th St, Santa Monica, CA 90402 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Jaspreet Singh Batra, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1423 6th St Apt 206, Santa Monica, CA 90401 Phone: 310-267-8797 | |
Dr. Khalid Kurbanali Javeri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2428 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-315-1000 |