Dr Freddie Joe Combs Jr, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Costa Mesa, California. He went to University Of Arizona College Of Medicine and graduated in 1997 and has 28 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southwest Diagnostic Imaging Llc and his current practice location is
1640 Newport Blvd, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at
(949) 515-3544.
Dr Freddie Joe Combs Jr is licensed to practice in California (license number C53942) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215130976.
Physician's Profile
| Full Name | Dr Freddie Joe Combs Jr |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 28 Years |
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| Location | 1640 Newport Blvd, Costa Mesa, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Freddie Joe Combs Jr attended and graduated from University Of Arizona College Of Medicine in 1997
NPI Data:
- NPI Number: 1215130976
- Provider Enumeration Date: 06/08/2007
- Last Update Date: 02/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 2264561133
- Enrollment ID: I20240612001327
Medical Identifiers
Medical identifiers for Dr Freddie Joe Combs Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1215130976 | NPI | - | NPPES |
| 1215130976 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | C53942 (California) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 28182 (Arizona) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southwest Diagnostic Imaging Llc | 7416946199 | 100 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Freddie Joe Combs Jr allows following entities to bill medicare on his behalf.
| Entity Name | Southwest Diagnostic Imaging Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902896236
PECOS PAC ID: 7416946199
Enrollment ID: O20040507001294 |
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| Entity Name | Sonoran Radiology Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20200526002412 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Freddie Joe Combs Jr is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Freddie Joe Combs Jr, MD
200 S Manchester Ave Ste 300,
Orange, CA 92868-3219
Ph: (714) 456-2986 | Dr Freddie Joe Combs Jr, MD
1640 Newport Blvd,
Costa Mesa, CA 92627-7745
Ph: (949) 515-3544 |
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