| Dr Marc T Awobuluyi, MD | |
|
11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Dr Marc T Awobuluyi |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota |
| 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 |
|---|---|---|---|
| 1962512145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A84420 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Medical Center | San francisco, CA | Hospital |
| Sequoia Hospital | Redwood city, CA | Hospital |
| Heritage Valley Beaver | Beaver, PA | Hospital |
| Heritage Valley Sewickley | Sewickley, PA | Hospital |
| Saint Francis Memorial Hospital | San francisco, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brighton Radiology Associates P C | 4789585951 | 12 |
| Community Mobile Diagnostics Llc | 4789610643 | 7 |
| Symphony Diagnostic Services No 1 Llc | 5193638765 | 19 |
| Image Guided Therapeutics Inc | 6608874896 | 16 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Community Mobile Diagnostics Llc | 4789610643 | 7 |
| Kan-di-ki Llc | 5991737140 | 30 |
| Brighton Radiology Associates P C | 4789585951 | 12 |
| Kan-di-ki Llc | 5991737140 | 30 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Reono Bertagnolli A Medical Group | 6800709783 | 42 |
| Symphony Diagnostic Services No 1 Llc | 5193638765 | 19 |
| Entity Name | University Of California Sfgh Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063487122 PECOS PAC ID: 5496668410 Enrollment ID: O20031106000503 |
| Entity Name | Reono Bertagnolli A Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134424005 PECOS PAC ID: 6800709783 Enrollment ID: O20050523000679 |
| Entity Name | Community Mobile Diagnostics Llc |
|---|---|
| Entity Type | Part B Supplier - Portable X-ray Supplier |
| Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20050712000635 |
| Entity Name | Kan-di-ki Llc |
|---|---|
| Entity Type | Part B Supplier - Portable X-ray Supplier |
| Entity Identifiers | NPI Number: 1750364345 PECOS PAC ID: 5991737140 Enrollment ID: O20051026000145 |
| Entity Name | Image Guided Therapeutics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316968910 PECOS PAC ID: 6608874896 Enrollment ID: O20061122000480 |
| 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 | Ellis Bandt Birkin Kollins & Wong Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578584678 PECOS PAC ID: 4486568946 Enrollment ID: O20111020000050 |
| Entity Name | Symphony Diagnostic Services No 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Portable X-ray Supplier |
| Entity Identifiers | NPI Number: 1013217769 PECOS PAC ID: 5193638765 Enrollment ID: O20140408002286 |
| Entity Name | Symphony Diagnostic Services No 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700865094 PECOS PAC ID: 5193638765 Enrollment ID: O20150416002087 |
| Entity Name | Pontchartrain Diagnostic Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760734685 PECOS PAC ID: 1951552900 Enrollment ID: O20150819008726 |
| Entity Name | Community Mobile Diagnostics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023104007 PECOS PAC ID: 4789610643 Enrollment ID: O20161012002786 |
| Entity Name | Community Mobile Ultrasound Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760620959 PECOS PAC ID: 4183761893 Enrollment ID: O20161013002290 |
| Entity Name | American Diagnostics Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639140387 PECOS PAC ID: 1355241274 Enrollment ID: O20170317001102 |
| Entity Name | Gainesville Radiology Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922037605 PECOS PAC ID: 9335046382 Enrollment ID: O20220317002212 |
| Entity Name | Brighton Radiology Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881672434 PECOS PAC ID: 4789585951 Enrollment ID: O20241011003977 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc T Awobuluyi, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1100 | Dr Marc T Awobuluyi, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1100 |
Norna L. Karp, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Stephen George Fox, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Trudy J Moore, MD Radiology Medicare: Medicare Enrolled Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Dr. Priti Bachubhai Ram, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Nathan J Groebner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274 | |
Dr. Christopher James Macdonald, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 |