| Dr Carl D Vegas, MD | |
|
545 Ne 47th Ave Ste 215, Portland, OR 97213-2237 | |
| (503) 731-2900 | |
| (503) 238-8710 |
| Full Name | Dr Carl D Vegas |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 20 Years |
| Location | 545 Ne 47th Ave Ste 215, Portland, Oregon |
| 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 |
|---|---|---|---|
| 1922149988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | MD27537 (Oregon) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD27537 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tallahassee Memorial Healthcare | Tallahassee, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Radiology Partners Ltd | 2860886918 | 24 |
| Tallahassee Memorial Healthcare Inc | 6103724778 | 436 |
| Radiology Associates Of Tallahassee Pa | 6709895675 | 36 |
| Tallahassee Diag Imaging Ctr Ltd | 9032193222 | 30 |
| Entity Name | Tallahassee Memorial Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104115948 PECOS PAC ID: 6103724778 Enrollment ID: O20031222000279 |
| Entity Name | Florida Department Of Children And Families |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710945118 PECOS PAC ID: 5092613570 Enrollment ID: O20031222000351 |
| Entity Name | Tallahassee Diag Imaging Ctr Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639129521 PECOS PAC ID: 9032193222 Enrollment ID: O20040615001595 |
| Entity Name | Radiology Associates Of Tallahassee Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003866773 PECOS PAC ID: 6709895675 Enrollment ID: O20070207000354 |
| Entity Name | Southeast Radiology Partners Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932799814 PECOS PAC ID: 2860886918 Enrollment ID: O20220307000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carl D Vegas, MD 5050 Ne Hoyt St, Ste 625, Portland, OR 97213-2991 Ph: (503) 731-2900 | Dr Carl D Vegas, MD 545 Ne 47th Ave Ste 215, Portland, OR 97213-2237 Ph: (503) 731-2900 |
Gregory Hall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 Fax: 503-494-4982 | |
Kiri Ann Cook, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 265 N Broadway, Portland, OR 97227 Phone: 503-280-1223 | |
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 | |
Hans Guenter Wandel, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Steven Lloyd Primack, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 | |
Dr. James S Putnam, MD Radiology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-4830 Fax: 503-216-4850 | |
D. Bradley Koslin, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-0990 |