| Dr Michael Gregory Fazio, DO | |
|
4500 Memorial Dr, Dept Radiology, Belleville, IL 62226-5360 | |
| (618) 257-5613 | |
| (314) 454-4641 |
| Full Name | Dr Michael Gregory Fazio |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 16 Years |
| Location | 4500 Memorial Dr, Belleville, Illinois |
| 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 |
|---|---|---|---|
| 1811123433 | NPI | - | NPPES |
| 200085569 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036151550 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Belleville, IL | Hospital |
| Salem Township Hospital | Salem, IL | Hospital |
| Alton Memorial Hospital | Alton, IL | Hospital |
| Alomere Health | Alexandria, MN | Hospital |
| Thomas H Boyd Memorial Hospital | Carrollton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clinical Radiologists Sc | 3476540873 | 34 |
| Clinical Radiologists Sc | 3476540873 | 34 |
| Clinical Radiologists Sc | 3476540873 | 34 |
| Beloit Radiology Ltd | 3274559711 | 41 |
| Regents Of The Univ Of Ca | 3375456619 | 1468 |
| Clinical Radiologists Sc | 3476540873 | 34 |
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Virtual Radiologic Professionals Llc | 4981608817 | 394 |
| Medical Scanning Consultants Pa | 9032005376 | 81 |
| Clinical Radiologists Sc | 3476540873 | 34 |
| Entity Name | Universal Radiology Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689606188 PECOS PAC ID: 2769485655 Enrollment ID: O20170829003057 |
| Entity Name | Clinical Radiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063469252 PECOS PAC ID: 3476540873 Enrollment ID: O20210216000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Gregory Fazio, DO Po Box 7412011, Chicago, IL 60674-2011 Ph: (618) 257-5613 | Dr Michael Gregory Fazio, DO 4500 Memorial Dr, Dept Radiology, Belleville, IL 62226-5360 Ph: (618) 257-5613 |
Dr. Louba Rodenko Laurie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Radiology, Belleville, IL 62226 Phone: 618-257-5613 Fax: 314-454-4641 | |
Dr. Robert Christopher Burke, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Radiology, Belleville, IL 62226 Phone: 618-257-5613 Fax: 314-454-4641 | |
Dr. Lucy Ann Rogne Christopherson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Radiology, Belleville, IL 62226 Phone: 618-257-5613 Fax: 314-454-4641 | |
Dr. Lucas Kyle Buckley, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Radiology, Belleville, IL 62226 Phone: 618-257-5613 Fax: 314-454-4641 | |
Dr. Arpit Patel, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Radiology, Belleville, IL 62226 Phone: 618-257-5613 Fax: 314-454-4641 | |
Charles C Dumontier, MD Radiology Medicare: Medicare Enrolled Practice Location: 180 South Third Street, Suite 101, Belleville, IL 62220 Phone: 618-235-0651 Fax: 618-235-9722 | |
Dr. Jayant M Amberker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Dept Radiology, Belleville, IL 62226 Phone: 618-257-5613 Fax: 314-454-4641 |