| Dr Jonathan William Blevins, MD | |
|
39000 Bob Hope Dr Dept Of, Rancho Mirage, CA 92270-3221 | |
| (949) 263-8620 | |
| (800) 409-7005 |
| Full Name | Dr Jonathan William Blevins |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 39000 Bob Hope Dr Dept Of, Rancho Mirage, California |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477710127 | NPI | - | NPPES |
| 1477710127 | Medicaid | CA | |
| 00A1177640 | Other | CA | BC/BS OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MT189054 (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A117764 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Imaging Sc | 3678892247 | 24 |
| Desert Advanced Imaging Medical Center | 6406749613 | 157 |
| Halo Medical Group | 7012806052 | 20 |
| Entity Name | Halo Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467506451 PECOS PAC ID: 7012806052 Enrollment ID: O20040315001110 |
| Entity Name | I V Radiology Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235296880 PECOS PAC ID: 7517952310 Enrollment ID: O20040420000493 |
| Entity Name | Palms Imaging Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851347272 PECOS PAC ID: 9638184815 Enrollment ID: O20060208000736 |
| Entity Name | Spectrum Imaging Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821482621 PECOS PAC ID: 3678892247 Enrollment ID: O20210924002005 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan William Blevins, MD Po Box 18977, Reno, NV 89511-0550 Ph: (949) 263-8620 | Dr Jonathan William Blevins, MD 39000 Bob Hope Dr Dept Of, Rancho Mirage, CA 92270-3221 Ph: (949) 263-8620 |
Adele Alexandra Fields, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-773-1574 Fax: 760-773-2038 | |
Dinesh N. Patel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-674-3852 | |
Mehran K. Elly, M.D., PH.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-674-3852 | |
Mr. Jeffrey Franklin Burkeen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Rancho Mirage, CA 92270 Phone: 760-674-3600 Fax: 760-674-3607 | |
Bayani V. Evangelista, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-674-3852 | |
Karin L. Fu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270 Phone: 760-340-3911 Fax: 760-674-3852 | |
Dr. David P Schreiber, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 35800 Bob Hope Dr Ste 215, Rancho Mirage, CA 92270 Phone: 760-536-4400 Fax: 760-553-4419 |