| Dr Vivek V Reddy, MD | |
|
5176 Hill Rd E, Lakeport, CA 95453-6300 | |
| (707) 262-5030 | |
| (707) 256-3508 |
| Full Name | Dr Vivek V Reddy |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 5176 Hill Rd E, Lakeport, 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 |
|---|---|---|---|
| 1437163441 | NPI | - | NPPES |
| 00A827470 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A82747 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Lakeside Hospital | Lakeport, CA | Hospital |
| Adventist Health Clearlake | Clearlake, CA | Hospital |
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| California Advanced Imaging Medical Associates Inc | 0244144228 | 76 |
| Entity Name | California Advanced Imaging Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881646909 PECOS PAC ID: 0244144228 Enrollment ID: O20031113000847 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vivek V Reddy, MD Po Box 6102, Novato, CA 94948-6102 Ph: (415) 884-3404 | Dr Vivek V Reddy, MD 5176 Hill Rd E, Lakeport, CA 95453-6300 Ph: (707) 262-5030 |
Dr. Myron P. Schneider, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Dept Of Imaging, Lakeport, CA 95453 Phone: 707-262-5035 Fax: 707-256-3508 | |
Dr. Lucille A Perkins, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5176 Hill Rd E, Lakeport, CA 95453 Phone: 707-262-5030 Fax: 707-256-3508 |