| Dr Lee W Ball, MD | |
|
9205 Sw Barnes Rd, Portland, OR 97225-6603 | |
| (503) 216-4830 | |
| (503) 216-4850 |
| Full Name | Dr Lee W Ball |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 45 Years |
| Location | 9205 Sw Barnes Rd, Portland, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194795518 | NPI | - | NPPES |
| 047451 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 344219 (New York) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 15521 (Oregon) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Providence Newberg Medical Center | Newberg, OR | Hospital |
| Providence Seaside Hospital | Seaside, OR | Hospital |
| Providence Hood River Memorial Hospital | Hood river, OR | Hospital |
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Medical Imaging Llc | 9335191543 | 28 |
| Bridgeport Medical Imaging, Llc | 3173670411 | 28 |
| Trg, Llc | 8820283617 | 35 |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952482275 PECOS PAC ID: 3072415652 Enrollment ID: O20040123000519 |
| Entity Name | Center for Medical Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275505448 PECOS PAC ID: 9335191543 Enrollment ID: O20050216000427 |
| Entity Name | Bridgeport Medical Imaging, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922253525 PECOS PAC ID: 3173670411 Enrollment ID: O20090402000485 |
| Entity Name | Trg, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467771121 PECOS PAC ID: 8820283617 Enrollment ID: O20101105000754 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lee W Ball, MD 9400 Sw Barnes Rd Ste 150, Portland, OR 97225-6787 Ph: (503) 292-9108 | Dr Lee W Ball, MD 9205 Sw Barnes Rd, Portland, OR 97225-6603 Ph: (503) 216-4830 |
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 |
Deborah Janet Cohen, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Veterans Hospital Rd, Portland, OR 97239 Phone: 503-539-4903 |
Andrew Gary Helming, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311 |
Elizabeth Shimoura, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-9813 |
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 |