Dr Brett A Stephens, MD | |
121 S Saint Louis Blvd, South Bend, IN 46617-2924 | |
(574) 233-3123 | |
(574) 233-3125 |
Full Name | Dr Brett A Stephens |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 40 Years |
Location | 121 S Saint Louis Blvd, South Bend, Indiana |
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 |
---|---|---|---|
1164478400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 01033824A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Honorhealth Scottsdale Shea Medical Center | Scottsdale, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sonoran Radiology Ltd | 3375964505 | 367 |
Southwest Diagnostic Imaging Ltd | 7416946199 | 87 |
Entity Name | Southwest Diagnostic Imaging Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20040507001294 |
Entity Name | Sonoran Radiology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200526002412 |
Mailing Address | Practice Location Address |
---|---|
Dr Brett A Stephens, MD 121 S Saint Louis Blvd, South Bend, IN 46617-2924 Ph: (574) 233-3123 | Dr Brett A Stephens, MD 121 S Saint Louis Blvd, South Bend, IN 46617-2924 Ph: (574) 233-3123 |
Dr. Scott H Wolf, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9203 Fax: 574-237-9311 | |
Dr. Vu H Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125 | |
Dr. Michael John Hall, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 5500, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210 | |
Dr. David A Cory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 121 S Saint Louis Blvd, South Bend, IN 46617 Phone: 574-233-3123 Fax: 574-233-3125 | |
Dr. Thomas A Bowers, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 211 N Eddy St, South Bend, IN 46617 Phone: 574-237-9203 Fax: 574-237-9311 | |
Samuel Mcgrath, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 621 Memorial Dr Ste 100, South Bend, IN 46601 Phone: 574-647-1100 |