| Dr Reono Bertagnolli, MD | |
|
137 Little Indian Loop, Mooresville, NC 28117-9395 | |
| (877) 905-1724 | |
| Not Available |
| Full Name | Dr Reono Bertagnolli |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 137 Little Indian Loop, Mooresville, North Carolina |
| 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 |
|---|---|---|---|
| 1558352948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 12601 (Hawaii) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Reono Bertagnolli A Medical Group | 6800709783 | 47 |
| Entity Name | Symphony Diagnostic Services No 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Portable X-ray Supplier |
| Entity Identifiers | NPI Number: 1700865094 PECOS PAC ID: 5193638765 Enrollment ID: O20040603000032 |
| 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: O20130628000384 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Reono Bertagnolli, MD 1620 Northwest Blvd Ste 202, Coeur D Alene, ID 83814-2488 Ph: (877) 905-1724 | Dr Reono Bertagnolli, MD 137 Little Indian Loop, Mooresville, NC 28117-9395 Ph: (877) 905-1724 |
Dr. Kevin S Roof, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd, Suite 100, Mooresville, NC 28117 Phone: 704-235-2599 Fax: 704-333-3397 | |
Dr. John B. Konefal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 170 Medical Park Rd, Suite 100, Mooresville, NC 28117 Phone: 704-235-2580 Fax: 704-333-3397 |