| 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 | 17 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 |
|---|---|---|
| Unitypoint Health - Des Moines Iowa Methodist Medi | Des moines, IA | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| Buena Vista Regional Medical Center | Storm lake, IA | Hospital |
| Grinnell Regional Medical Center | Grinnell, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtual Radiologic Professionals Llc | 4981608817 | 425 |
| Clinical Radiologists Sc | 3476540873 | 33 |
| Iowa Diagnostic Imaging And Procedure Center Lc | 1658263546 | 35 |
| Iowa Radiology Pc | 2264323468 | 37 |
| Clinical Radiologists Sc | 3476540873 | 33 |
| Clinical Radiologists Sc | 3476540873 | 33 |
| Washington University Physicians In Illinois Inc | 4789945163 | 162 |
| Clinical Radiologists Sc | 3476540873 | 33 |
| Beloit Radiology Ltd | 3274559711 | 52 |
| Regents Of The Univ Of Ca | 3375456619 | 1602 |
| Sonoran Radiology Ltd | 3375964505 | 470 |
| Sutter Bay Medical Foundation | 4284538778 | 3741 |
| Northside Radiology Associates Llc | 4486555398 | 377 |
| Singleton Associates Pa | 6305731118 | 773 |
| Entity Name | Virtual Radiologic Professionals Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20070807000603 |
| Entity Name | Clinical Radiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063469252 PECOS PAC ID: 3476540873 Enrollment ID: O20090227000072 |
| Entity Name | Beloit Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386661734 PECOS PAC ID: 3274559711 Enrollment ID: O20220113000736 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20231031003268 |
| Entity Name | Palm Desert Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079868 PECOS PAC ID: 0749173789 Enrollment ID: O20240312000103 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20240408000757 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558313023 PECOS PAC ID: 5395657001 Enrollment ID: O20240627001442 |
| Entity Name | Donalsonville Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720095805 PECOS PAC ID: 7113919820 Enrollment ID: O20240828002750 |
| Entity Name | Regents Of The Univ Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477546406 PECOS PAC ID: 3375456619 Enrollment ID: O20240920000163 |
| Entity Name | Atlantic Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033136080 PECOS PAC ID: 5799706032 Enrollment ID: O20240925000912 |
| Entity Name | Kaleida Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427870070 PECOS PAC ID: 7810805280 Enrollment ID: O20250123000755 |
| Entity Name | The Unity Hospital Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457395766 PECOS PAC ID: 9436060969 Enrollment ID: O20250130003906 |
| Entity Name | Medical Scanning Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659348092 PECOS PAC ID: 9032005376 Enrollment ID: O20250227002940 |
| Entity Name | Rochester General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255360517 PECOS PAC ID: 0244149474 Enrollment ID: O20250429001546 |
| 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 |