| Dr Shawez Bokhari, | |
|
3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 | |
| (616) 363-7339 | |
| (616) 361-5828 |
| Full Name | Dr Shawez Bokhari |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 26 Years |
| Location | 3264 N Evergreen Dr Ne, Grand Rapids, 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 |
|---|---|---|---|
| 1255345344 | NPI | - | NPPES |
| 02683301 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 231435 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 4301103713 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tristar Centennial Medical Center | Nashville, TN | Hospital |
| Three Rivers Hospital | Waverly, TN | Hospital |
| Tristar Summit Medical Center | Hermitage, TN | Hospital |
| Tristar Skyline Medical Center | Nashville, TN | Hospital |
| Greenview Regional Hospital | Bowling green, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Alliance Pc | 1850280470 | 301 |
| Tennessee Oncology Pllc | 4688586134 | 323 |
| Murfreesboro Radiology And Nuclear Medicine Consultants Pllc | 7719964063 | 84 |
| Entity Name | Tennessee Oncology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811955917 PECOS PAC ID: 4688586134 Enrollment ID: O20031103000534 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20040312000115 |
| Entity Name | Murfreesboro Radiology & Nuclear Medicine Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316043524 PECOS PAC ID: 7719964063 Enrollment ID: O20040702001250 |
| Entity Name | Imaging Alliance Nashville Pet Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1285619270 PECOS PAC ID: 1759343627 Enrollment ID: O20041102000959 |
| Entity Name | Lebanon Pet Scan Center Llc |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1114551132 PECOS PAC ID: 9032530233 Enrollment ID: O20200717001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shawez Bokhari, 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7339 | Dr Shawez Bokhari, 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525-9746 Ph: (616) 363-7339 |
Dr. Jon R Henke, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290 | |
Geoffrey M. Remes, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828 | |
Jan L Mourelatos, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-361-5828 | |
Dr. Brendan Michael Banyon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 | |
Dr. Joseph J Junewick, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7272 Fax: 616-363-7290 | |
Keith Alan Morrow, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 Fax: 616-361-5828 | |
Dr. Andrew Kent Moriarity, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI 49525 Phone: 616-363-7339 |