| Dr Stephen Brent Carroll, MD | |
|
4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 | |
| (505) 332-6919 | |
| (505) 332-6921 |
| Full Name | Dr Stephen Brent Carroll |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 4411 The 25 Way Ne, Albuquerque, New Mexico |
| 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 |
|---|---|---|---|
| 1669532008 | NPI | - | NPPES |
| 42482780 | Medicaid | NM |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| St Charles Prineville | Prineville, OR | Hospital |
| St Charles Madras | Madras, OR | Hospital |
| Harney District Hospital | Burns, OR | Hospital |
| Blue Mountain Hospital | John day, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Oregon Radiology Assoc Pc | 9335132091 | 41 |
| Cascade Medical Imaging Llc | 9537140108 | 40 |
| Lake Health District | 4284629221 | 51 |
| Central Oregon Radiology Assoc Pc | 9335132091 | 41 |
| Central Oregon Magnetic Resonance Imaging Llc | 8224058003 | 35 |
| Lake Health District | 4284629221 | 51 |
| Entity Name | Morrow County Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770514481 PECOS PAC ID: 2365359296 Enrollment ID: O20040226001024 |
| 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: O20040407000799 |
| Entity Name | Lake Health District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376698522 PECOS PAC ID: 4284629221 Enrollment ID: O20040419000549 |
| Entity Name | Morrow County Health District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1376572099 PECOS PAC ID: 2365359296 Enrollment ID: O20061104000545 |
| Entity Name | Bend Memorial Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022 |
| Entity Name | Cascade Medical Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932621588 PECOS PAC ID: 9537140108 Enrollment ID: O20171009003041 |
| Entity Name | Central Oregon Magnetic Resonance Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114972155 PECOS PAC ID: 8224058003 Enrollment ID: O20171018001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Brent Carroll, MD 1460 Ne Medical Center Dr, Bend, OR 97701-6061 Ph: (541) 382-6633 | Dr Stephen Brent Carroll, MD 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 Ph: (505) 332-6919 |
Mark Ehrhart, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc 10 5550, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-4661 | |
Dr. Jose Bernardo Rebeil-de La Rosa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8020 Constitution Pl Ne Ste 202, Albuquerque, NM 87110 Phone: 505-998-3096 Fax: 505-998-3100 | |
Dr. Karen Renee Craig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2211 Lomas Blvd Ne, Albuquerque, NM 87106 Phone: 505-272-0011 | |
Stuart Bernard Paster, Radiology Medicare: Not Enrolled in Medicare Practice Location: 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 Phone: 505-998-1317 Fax: 505-998-1308 | |
Dr. Luis Centenera, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109 Phone: 505-332-5800 Fax: 505-332-6919 | |
Ryan Craig Lebaron, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Msc10 5530, 1 University Of New Mexico, Albuquerque, NM 87131 Phone: 505-272-6225 | |
Glenn S. Roush, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4411 The 25 Way Ne, Albuquerque, NM 87109 Phone: 505-332-6921 Fax: 256-382-6455 |