| Dr Roland E Gazaille Iii, DO | |
|
2799 West Grand Blvd A-4 Diagnostic Radiology, Henry Ford Health System, Detroit, MI 48202-3450 | |
| (937) 564-3269 | |
| Not Available |
| Full Name | Dr Roland E Gazaille Iii |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 21 Years |
| Location | 2799 West Grand Blvd A-4 Diagnostic Radiology, Detroit, Michigan |
| 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 |
|---|---|---|---|
| 1386816288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 34.009015 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grandview And Southview Hospitals | Dayton, OH | Hospital |
| Western Reserve Hospital | Cuyahoga falls, OH | Hospital |
| Kettering Medical Center | Kettering, OH | Hospital |
| Soin Medical Center | Beaver creek, OH | Hospital |
| Springfield Regional Medical Center | Springfield, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wrh Physicians, Inc | 0840342366 | 107 |
| Kettering Network Radiologists Inc | 7618960303 | 70 |
| Kettering Network Radiologists Inc | 7618960303 | 70 |
| Entity Name | Kettering Network Radiologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346299153 PECOS PAC ID: 7618960303 Enrollment ID: O20040407001016 |
| Entity Name | Wrh Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700025459 PECOS PAC ID: 0840342366 Enrollment ID: O20090714000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roland E Gazaille Iii, DO 635 Far Hills Ave, Apt #5, Dayton, OH 45419-3852 Ph: (937) 564-3269 | Dr Roland E Gazaille Iii, DO 2799 West Grand Blvd A-4 Diagnostic Radiology, Henry Ford Health System, Detroit, MI 48202-3450 Ph: (937) 564-3269 |
Dr. Brent David Griffith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Kanika Khanna, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 313-916-2600 | |
Dr. Michael Matthew Dominello, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 4100 John R, Detroit, MI 48201 Phone: 800-527-6266 Fax: 313-576-9640 | |
Rajinder P. Sharma, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Milan V. Pantelic, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 Phone: 313-916-2436 | |
Kristan Gail Jenkins-mosure, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 800-653-6568 | |
Kristin Booth, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2799 W Grand Blvd, Detroit, MI 48202 Phone: 517-402-1383 |