| Dr Mark W Coburn, MD | |
|
300 University Blvd, Round Rock, TX 78665-1032 | |
| (512) 509-0100 | |
| (512) 218-6330 |
| Full Name | Dr Mark W Coburn |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 31 Years |
| Location | 300 University Blvd, Round Rock, Texas |
| 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 |
|---|---|---|---|
| 1811035694 | NPI | - | NPPES |
| 173098 | Other | MO | MO BLUE SHIELD |
| 140791001 | Medicaid | AR | |
| 205007503 | Medicaid | MO | |
| 98569 | Other | AR | ARK BLUE SHIELD |
| Facility Name | Location | Facility Type |
|---|---|---|
| Overlake Hospital Medical Center | Bellevue, WA | Hospital |
| Virginia Mason Memorial | Yakima, WA | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Olympic Medical Center | Port angeles, WA | Hospital |
| Santa Clara Valley Medical Center | San jose, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evergreen Radia Llc | 4587568076 | 112 |
| Swedish Radia Imaging Center At Edmonds Llc | 5496778292 | 111 |
| Singleton Associates Pa | 6305731118 | 773 |
| Evergreen Radia Llc | 4587568076 | 112 |
| Central Washington Health Services Association | 4880504596 | 696 |
| Swedish Radia Imaging Center At Edmonds Llc | 5496778292 | 111 |
| Radia California Radiology Medical Group Inc | 8921465998 | 132 |
| Middle Tennessee Imaging Llc | 5698743706 | 116 |
| Swedish Health Services | 3173433067 | 154 |
| Radiology Alliance Pc | 1850280470 | 406 |
| Tower Imaging Medical Associates Inc | 2163608688 | 89 |
| Radia Oregon Radiology Medical Group Llc | 2961852637 | 121 |
| Central Washington Health Services Association | 4880504596 | 696 |
| Radia California Radiology Medical Group Inc | 8921465998 | 132 |
| Radia Inc P S | 9931012812 | 275 |
| Yakima Valley Memorial Physicians | 1557391596 | 407 |
| Radiology Alliance Pc | 1850280470 | 406 |
| Radia Oregon Radiology Medical Group Llc | 2961852637 | 121 |
| Radia Inc P S | 9931012812 | 275 |
| Swedish Health Services | 0244138196 | 1051 |
| County Of Santa Clara | 1254244973 | 1004 |
| Okanogan County Public Hospital District No. 3 | 6800707951 | 91 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Entity Name | Medford Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407938111 PECOS PAC ID: 2062303324 Enrollment ID: O20201012002917 |
| Entity Name | Radia Inc P S |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932196607 PECOS PAC ID: 9931012812 Enrollment ID: O20220902000393 |
| Entity Name | Central Washington Health Services Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642239 PECOS PAC ID: 4880504596 Enrollment ID: O20230201000919 |
| Entity Name | Radia California Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20230908001509 |
| Entity Name | Radia Oregon Radiology Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073385423 PECOS PAC ID: 2961852637 Enrollment ID: O20240129003506 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark W Coburn, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-8800 | Dr Mark W Coburn, MD 300 University Blvd, Round Rock, TX 78665-1032 Ph: (512) 509-0100 |
Cody R. Quirk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Dr. Charles Chia-chuen Hsu, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2410 Round Rock Ave Ste 150, Round Rock, TX 78681 Phone: 512-341-8724 | |
Dr. Gita Rani Devi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1501 Clary Sage Loop, Round Rock, TX 78665 Phone: 512-246-7671 | |
Dr. Matthew D Parker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 Fax: 512-218-6330 | |
Dr. Jeffrey Kenneth Helmcamp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 | |
Dr. Catherine A Young, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 Fax: 512-281-6330 | |
Bella Prahlad Desai, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 University Blvd, Round Rock, TX 78665 Phone: 512-509-0100 Fax: 512-218-6330 |