| Dr Kent E Ibanez, MD | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-9000 | |
| Not Available |
| Full Name | Dr Kent E Ibanez |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| 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 |
|---|---|---|---|
| 1326007972 | NPI | - | NPPES |
| 22557 | Other | NE | NEBRASKA MEDICAL LICENSE |
| P00360851 | Other | RRMCARE | |
| 179932201 | Medicaid | TX | |
| 179932202 | Medicaid | TX | |
| 179932201 | Other | TX | CSHCN2 |
| P00360851 | Other | RRMCARE2 | |
| 179932203 | Other | TX | CSHCN1 |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital & Medical Center | Hartford, CT | Hospital |
| St David's South Austin Medical Center | Austin, TX | Hospital |
| Johnson Memorial Hospital | Stafford springs, CT | Hospital |
| Peterson Regional Medical Center | Kerrville, TX | Hospital |
| Ascension Seton Medical Center Austin | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peterson Medical Associates | 1355467887 | 146 |
| Austin Radiological Association | 4880686179 | 120 |
| Singleton Associates Pa | 6305731118 | 635 |
| Premier Imaging Llc | 8820403637 | 53 |
| Er Physician Group At Jackson Hospital | 8729059472 | 102 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20040315000385 |
| Entity Name | Austin Radiological Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033196464 PECOS PAC ID: 4880686179 Enrollment ID: O20040330000453 |
| Entity Name | Mountain Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093823742 PECOS PAC ID: 4688666761 Enrollment ID: O20200603002000 |
| Entity Name | Pinnacle Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457125288 PECOS PAC ID: 3870939614 Enrollment ID: O20240318000127 |
| Entity Name | Sra Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881920452 PECOS PAC ID: 1759369663 Enrollment ID: O20240424001308 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kent E Ibanez, MD 12554 Riata Vista Cir, Austin, TX 78727-6431 Ph: (512) 795-5100 | Dr Kent E Ibanez, MD 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Anita Oza Nagamine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
George X Zaleski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Paolo Gian Piero Nucifora, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Christine Dudiak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 | |
Dr. Scott Alan Mirowitz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 So First Avenue, Radiology, Maywood, IL 60153 Phone: 708-216-9000 | |
Kyle Mcwilliams, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 260-460-0514 | |
Veronia Fahmy, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4051 |