| Dr Derek C Diffendaffer, MD | |
|
2602 Buford Rd, North Chesterfield, VA 23235-3422 | |
| (804) 272-8806 | |
| (804) 272-2909 |
| Full Name | Dr Derek C Diffendaffer |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 2602 Buford Rd, North Chesterfield, Virginia |
| 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 |
|---|---|---|---|
| 1558629113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101289154 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grady Memorial Hospital | Chickasha, OK | Hospital |
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Community Hospital, Llc | Oklahoma city, OK | Hospital |
| Southwestern Medical Center | Lawton, OK | Hospital |
| Oklahoma Center For Orthopaedic & Multi-sp | Oklahoma city, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Star Mcd Llc | 2668659434 | 77 |
| Eagle Partners, Pllc | 9032205752 | 170 |
| North Star Diagnostic Imaging Llc | 8729118021 | 69 |
| North Star Mcd Llc | 2668659434 | 77 |
| North Star Mri Of Frisco Lp | 2769574854 | 72 |
| Singleton Associates Pa | 6305731118 | 814 |
| North Star Fm Lp | 1153591763 | 22 |
| North Star Mri Of Frisco Lp | 2769574854 | 72 |
| North Star Diagnostic Imaging Llc | 8729118021 | 69 |
| North Star Mri Lp | 5890762330 | 54 |
| Entity Name | North Star Mri of Frisco LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649356759 PECOS PAC ID: 2769574854 Enrollment ID: O20070821000328 |
| Entity Name | North Star Diagnostic Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467787739 PECOS PAC ID: 8729118021 Enrollment ID: O20100614000182 |
| Entity Name | North Star Mri LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033174701 PECOS PAC ID: 5890762330 Enrollment ID: O20110524000030 |
| Entity Name | North Star Mcd LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295496602 PECOS PAC ID: 2668659434 Enrollment ID: O20110602000702 |
| Entity Name | North Star CN LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013305945 PECOS PAC ID: 0547589376 Enrollment ID: O20150429001555 |
| Entity Name | North Star FP LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033630835 PECOS PAC ID: 6800168576 Enrollment ID: O20170816002017 |
| Entity Name | North Star GV LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922512664 PECOS PAC ID: 0648539023 Enrollment ID: O20180110000546 |
| Entity Name | North Star Npt LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699387647 PECOS PAC ID: 8426468265 Enrollment ID: O20201105000633 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek C Diffendaffer, MD 2602 Buford Rd, North Chesterfield, VA 23235-3422 Ph: (804) 272-8806 | Dr Derek C Diffendaffer, MD 2602 Buford Rd, North Chesterfield, VA 23235-3422 Ph: (804) 272-8806 |
Qiong Han, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 |
Richard S. Pergolizzi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 |
Farshid Bozorgi, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 |
Veer Monish Gariwala, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 |
Kofi-buaku Atsina, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 |
Allisa Rogers, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 9740 Midlothian Tpke, North Chesterfield, VA 23235 Phone: 804-601-2500 |
Jonathan Chahin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2602 Buford Rd, North Chesterfield, VA 23235 Phone: 804-272-8806 Fax: 804-272-2909 |