| Dr Stephen B Haltom, MD | |
|
1025 El Mirador Ave, Long Beach, CA 90815-4420 | |
| (505) 250-6954 | |
| Not Available |
| Full Name | Dr Stephen B Haltom |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1025 El Mirador Ave, Long Beach, California |
| 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 |
|---|---|---|---|
| 1538208574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD207334 (Oregon) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2005-0385 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| St Charles Prineville | Prineville, OR | Hospital |
| Harney District Hospital | Burns, OR | Hospital |
| Wallowa Memorial Hospital | Enterprise, OR | Hospital |
| St Charles Madras | Madras, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Oregon Radiology Assoc Pc | 9335132091 | 38 |
| Lake Health District | 4284629221 | 37 |
| Central Oregon Magnetic Resonance Imaging Llc | 8224058003 | 28 |
| Central Oregon Radiology Assoc Pc | 9335132091 | 38 |
| Cascade Medical Imaging Llc | 9537140108 | 34 |
| Entity Name | Central Oregon Radiology Assoc Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477590081 PECOS PAC ID: 9335132091 Enrollment ID: O20200619000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen B Haltom, MD 1025 El Mirador Ave, Long Beach, CA 90815-4420 Ph: (505) 250-6954 | Dr Stephen B Haltom, MD 1025 El Mirador Ave, Long Beach, CA 90815-4420 Ph: (505) 250-6954 |
Dr. Natalie Maya Sardjono, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2810 Long Beach Blvd Fl 2, Long Beach, CA 90806 Phone: 562-933-7880 | |
Dr. Thomas Charles Gates, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1043 Elm Ave, Long Beach, CA 90813 Phone: 951-691-5123 Fax: 951-691-5156 | |
Dr. Reza Lotfi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5901 E 7th St, Radiology 05/114, Long Beach, CA 90822 Phone: 562-826-8000 Fax: 561-826-5425 | |
Timothy V Bell, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4241 Long Beach Blvd, Rad-image Medical Group Inc., Long Beach, CA 90807 Phone: 562-912-2507 Fax: 484-918-2507 | |
Kourosh Nourisamie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4241 Long Beach Blvd, Long Beach, CA 90807 Phone: 562-912-2507 Fax: 484-918-2507 | |
Dr. Charles Franklin Brown, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1045 Atlantic Ave, Suite 105, Long Beach, CA 90813 Phone: 562-437-6982 Fax: 562-624-0741 | |
Mr. Barry Bardia Golestany, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2801 Atlantic Ave, Long Beach, CA 90806 Phone: 714-665-1797 |