| Dr William C Andolsek, DO | |
|
1575 N East Expy Ne, Brookhaven, GA 30329-2317 | |
| (404) 785-1258 | |
| Not Available |
| Full Name | Dr William C Andolsek |
|---|---|
| Gender | Male |
| Speciality | Radiology - Pediatric Radiology |
| Location | 1575 N East Expy Ne, Brookhaven, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235249392 | NPI | - | NPPES |
| 1600683 | Other | UT | UNITED HEALTHCARE |
| 76374 | Other | UT | PUBLIC EMPLOYEES HEALTH |
| 35834 | Other | UT | DESERET MUTUAL |
| 8550895 | Other | UT | AETNA |
| QM0000027099 | Other | UT | ALTIUS |
| 35524 | Other | UT | UUHN |
| 870355724AND | Other | UT | EDUCATORS MUTUAL |
| 107027526101 | Other | UT | SELECTHEALTH |
| 55221351200001 | Other | UT | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085P0229X | Radiology - Pediatric Radiology | 5522135-1204 (Utah) | Primary |
| Entity Name | Ihc Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
| Entity Name | University Of Utah Pediatric Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371 |
| Entity Name | Tellica Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760197198 PECOS PAC ID: 3577950765 Enrollment ID: O20231201000761 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William C Andolsek, DO 1575 N East Expy Ne, Brookhaven, GA 30329-2317 Ph: (404) 785-1258 | Dr William C Andolsek, DO 1575 N East Expy Ne, Brookhaven, GA 30329-2317 Ph: (404) 785-1258 |
Gregory Arthur Lloyd Jordan, Radiology Medicare: May Accept Medicare Assignments Practice Location: 2220 N Druid Hills Rd Ne, Brookhaven, GA 30329 Phone: 404-785-5437 |