| Dr Glenn P Wedeen, MD | |
|
15248 11th St, Victorville, CA 92395-3704 | |
| (760) 843-6092 | |
| Not Available |
| Full Name | Dr Glenn P Wedeen |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 38 Years |
| Location | 15248 11th St, Victorville, 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 |
|---|---|---|---|
| 1275577504 | NPI | - | NPPES |
| 00G755740 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G75574 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fresno Imaging Center | 2466553128 | 68 |
| Beverly Radiology Medical Group Iii | 3476466376 | 307 |
| Desert Advanced Imaging Medical Center | 6406749613 | 157 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20031106000784 |
| Entity Name | Valley Radiology Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396703179 PECOS PAC ID: 8022911809 Enrollment ID: O20040129000445 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20040202001145 |
| Entity Name | Kern Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700821972 PECOS PAC ID: 7214826460 Enrollment ID: O20040315000421 |
| Entity Name | Diagnostic Radiological Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710931910 PECOS PAC ID: 4981680220 Enrollment ID: O20040626000471 |
| Entity Name | Desert Advanced Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416147 PECOS PAC ID: 6406749613 Enrollment ID: O20050622001415 |
| Entity Name | Pronet Imaging Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099488 PECOS PAC ID: 5890722755 Enrollment ID: O20050721000831 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20060221000914 |
| Entity Name | Stockton Diagnostic Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356538201 PECOS PAC ID: 0749386894 Enrollment ID: O20070507000122 |
| Entity Name | San Fernando Valley Interventional Radiology And Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942350889 PECOS PAC ID: 3476651431 Enrollment ID: O20070614000478 |
| Entity Name | Fresno Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659456499 PECOS PAC ID: 2466553128 Enrollment ID: O20070724000813 |
| Entity Name | Norcal Imaging |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003965997 PECOS PAC ID: 7911099346 Enrollment ID: O20070815000403 |
| Entity Name | Radnet Medical Imaging - San Francisco |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548345382 PECOS PAC ID: 9830283761 Enrollment ID: O20070921000636 |
| Entity Name | Emeryville Advanced Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376597930 PECOS PAC ID: 3375637051 Enrollment ID: O20070926000354 |
| Entity Name | Modesto Advanced Diagnostic Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730133893 PECOS PAC ID: 1850336736 Enrollment ID: O20080313000323 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090917000455 |
| Entity Name | Santa Rosa Imaging Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689890444 PECOS PAC ID: 2567408859 Enrollment ID: O20100324000598 |
| Entity Name | Apex Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750650982 PECOS PAC ID: 7719140680 Enrollment ID: O20120514000416 |
| Entity Name | Redlands Family Practice Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942482021 PECOS PAC ID: 7214249127 Enrollment ID: O20150707001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Glenn P Wedeen, MD Po Box 190, Simi Valley, CA 93062-0190 Ph: (805) 522-5940 | Dr Glenn P Wedeen, MD 15248 11th St, Victorville, CA 92395-3704 Ph: (760) 843-6092 |
Dr. John Joseph Cerrone, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 17891 San Gabriel Lane, 7816 Svl Box, Victorville, CA 92395 Phone: 760-243-5801 Fax: 760-243-5801 | |
Mary Maunglay, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12602 Amargosa Rd, Victorville, CA 92392 Phone: 760-241-6666 Fax: 760-947-5619 | |
Michael Mcconnell, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12490 Business Center Dr Ste 200, Victorville, CA 92395 Phone: 760-728-1900 | |
Dr. Rahul Nayyar, M.D., MBA Radiology Medicare: Accepting Medicare Assignments Practice Location: 15248 11th St, Victorville, CA 92395 Phone: 760-245-8691 | |
Dr. Veena Mandava, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12602 Amargosa Rd Ste F, Victorville, CA 92392 Phone: 760-561-5000 Fax: 760-947-5619 | |
Dr. Robert R Young, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 17260 Bear Valley Rd, Suite 109, Victorville, CA 92395 Phone: 760-843-2900 Fax: 760-843-0144 |