| Dr Lewis Kie Shin, MD | |
|
Banner Md Anderson Cancer Center, 2946 E Banner Gateway Drive, Gilbert, AZ 85234 | |
| (480) 256-6444 | |
| (480) 256-3682 |
| Full Name | Dr Lewis Kie Shin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | Banner Md Anderson Cancer Center, Gilbert, Arizona |
| 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 |
|---|---|---|---|
| 1467507863 | NPI | - | NPPES |
| 00A895140 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | A89514 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Gateway Medical Center | Gilbert, AZ | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
| Banner Cancer Center Specialists Llc | 6103097779 | 281 |
| Entity Name | Banner Cancer Center Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Banner Imaging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770139958 PECOS PAC ID: 1850724386 Enrollment ID: O20191213001312 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lewis Kie Shin, MD 2940 E. Banner Gateway Drive, Suite 450, Gilbert, AZ 85234 Ph: (480) 256-3430 | Dr Lewis Kie Shin, MD Banner Md Anderson Cancer Center, 2946 E Banner Gateway Drive, Gilbert, AZ 85234 Ph: (480) 256-6444 |
Dr. Georg Hernandez, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4001 E Baseline Rd Ste 105, Gilbert, AZ 85234 Phone: 480-632-5378 Fax: 480-632-1821 | |
Dr. Akshaar Brahmbhatt, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Yerko O Borghero, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 Phone: 480-256-3676 Fax: 480-256-3608 | |
Dr. Joel R Meyer, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Banner Md Anderson Cancer Center, 2940 E. Banner Gateway Drive Suite 350, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Sarah E Nicholas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Banner Md Anderson Cancer Center, 2946 E. Banner Gateway Drive, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Dr. Danielle Elizabeth Summers, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234 Phone: 480-256-6444 | |
Dr. Matthew D Callister, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2940 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 Phone: 480-256-6444 |