| Dr Michael Chervonski, MD | |
|
1010 Murray Ave, San Luis Obispo, CA 93405-1806 | |
| (805) 546-7600 | |
| Not Available |
| Full Name | Dr Michael Chervonski |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 1010 Murray Ave, San Luis Obispo, California |
| 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 |
|---|---|---|---|
| 1336405018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | A172276 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pali Momi Medical Center | Aiea, HI | Hospital |
| Kuakini Medical Center | Honolulu, HI | Hospital |
| Adventist Health Castle | Kailua, HI | Hospital |
| The Queens Medical Center | Honolulu, HI | Hospital |
| Straub Clinic And Hospital | Honolulu, HI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Radiology Group Inc | 7113817149 | 27 |
| Entity Name | Pacific Radiology Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871577536 PECOS PAC ID: 7113817149 Enrollment ID: O20040316000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Chervonski, MD 526 Stoneridge Dr, San Luis Obispo, CA 93401-5669 Ph: (404) 379-3018 | Dr Michael Chervonski, MD 1010 Murray Ave, San Luis Obispo, CA 93405-1806 Ph: (805) 546-7600 |
Dr. Gary Martin Hatch, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 Fax: 805-542-0584 | |
Dr. Archana C Lucchesi, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 6729 Monte Rd, San Luis Obispo, CA 93401 Phone: 858-546-3800 Fax: 858-546-3900 | |
Andy Hoang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Monterey St Ste 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 | |
Dr. Lisa Marie Wieler, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Monterey St, Suite 210, San Luis Obispo, CA 93401 Phone: 805-542-9700 Fax: 805-542-0584 | |
Dr. Jeffrey Kai Wu, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 Casa St Ste C, San Luis Obispo, CA 93405 Phone: 805-541-1932 Fax: 805-541-1653 | |
Robert D Henretig, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2180 Johnson Ave, Ste A, San Luis Obispo, CA 93401 Phone: 805-269-1313 Fax: 805-269-1387 |