| Jared Matthew Criddle, MD | |
|
6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | |
| (480) 456-9000 | |
| Not Available |
| Full Name | Jared Matthew Criddle |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 16 Years |
| Location | 6424 E Broadway Rd Ste 101, Mesa, Arizona |
| 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 |
|---|---|---|---|
| 1235364803 | NPI | - | NPPES |
| 343555 | Medicaid | AZ | |
| P01693581 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2016-01281 (North Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 54613 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Imaging Partners Pllc | 1254654809 | 9 |
| Eastern Nephrology Associates Pllc | 2264420512 | 71 |
| Imaging Partners Pllc | 1254654809 | 9 |
| Entity Name | Eastern Nephrology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417083783 PECOS PAC ID: 2264420512 Enrollment ID: O20040504001638 |
| Entity Name | Coastal Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144270307 PECOS PAC ID: 8224002696 Enrollment ID: O20040823000112 |
| Entity Name | Imaging Partners Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184020547 PECOS PAC ID: 1254654809 Enrollment ID: O20150106002175 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Matthew Criddle, MD 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 Ph: (602) 521-6252 | Jared Matthew Criddle, MD 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 Ph: (480) 456-9000 |
Asim A. Khwaja, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-926-8332 | |
Tobias Schifter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Stuart B. Cohen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805 | |
James B. Lyons, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Dr. Kirk D Minkus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7529 E Broadway Rd Ste 101, Mesa, AZ 85208 Phone: 480-945-4343 Fax: 480-945-4350 | |
Marvin K. Tam, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Brian J. Igel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805 |