| Jeffrey Thomas Maddock, MD | |
|
900 E Broadway Ave, Bismarck, ND 58501-4520 | |
| (701) 530-5304 | |
| Not Available |
| Full Name | Jeffrey Thomas Maddock |
|---|---|
| Gender | Male |
| Speciality | Interventional Radiology |
| Experience | 9 Years |
| Location | 900 E Broadway Ave, Bismarck, North Dakota |
| 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 |
|---|---|---|---|
| 1922450790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 18369 (North Dakota) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 18369 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St Alexius Health | Bismarck, ND | Hospital |
| St Aloisius Medical Center | Harvey, ND | Hospital |
| Sakakawea Medical Center - Cah | Hazen, ND | Hospital |
| Garrison Memorial Hospital | Garrison, ND | Hospital |
| Southwest Healthcare Services | Bowman, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Alexius Medical Center | 8426960865 | 225 |
| Bismarck Radiology Associates Pc | 9739525569 | 5 |
| Entity Name | St Alexius Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
| Entity Name | Bismarck Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750159398 PECOS PAC ID: 9739525569 Enrollment ID: O20240314002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Thomas Maddock, MD 900 E Broadway Ave, Bismarck, ND 58501-4520 Ph: (701) 530-5304 | Jeffrey Thomas Maddock, MD 900 E Broadway Ave, Bismarck, ND 58501-4520 Ph: (701) 530-5304 |
Michael J Mcintee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5479 | |
Matthew Iwamoto, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
John Peter Bretzman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Christina Marie Tello-skjerseth, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Joshua William Rampton, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-5422 | |
Dr. Jared Thomas Weinand, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Brian J Rau, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-6249 |