| Joel Marquess, | |
|
1650 Cowles St, Fairbanks, AK 99701-5907 | |
| (704) 355-0221 | |
| (704) 355-0770 |
| Full Name | Joel Marquess |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 18 Years |
| Location | 1650 Cowles St, Fairbanks, Alaska |
| 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 |
|---|---|---|---|
| 1568637221 | NPI | - | NPPES |
| 1616059 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2013-02064 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tift Regional Medical Center | Tifton, GA | Hospital |
| Cook Medical Center A Campus Of Tift Reg Med Ctr | Adel, GA | Hospital |
| Sgmc Berrien Campus | Nashville, GA | Hospital |
| Dorminy Medical Center | Fitzgerald, GA | Hospital |
| Union General Hospital | Blairsville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Radiology Associates Llc | 0042389231 | 34 |
| Entity Name | South Georgia Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760669931 PECOS PAC ID: 0042389231 Enrollment ID: O20080514000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Joel Marquess, Po Box 70378, 815 Second Ave, Suite 116, Fairbanks, AK 99707-0378 Ph: (704) 355-0221 | Joel Marquess, 1650 Cowles St, Fairbanks, AK 99701-5907 Ph: (704) 355-0221 |
Claire Margaret Waite, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5660 | |
David L Evans, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5660 | |
Dr. Jessica Ellen Panko, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-452-6464 | |
Dr. Jedidiah Jonah Malan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 815 2nd Ave, Suite 202, Fairbanks, AK 99701 Phone: 316-519-7664 | |
Theresa Joanne Shanley, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5660 | |
Mark Nathan Burton, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1650 Cowles St, Fairbanks, AK 99701 Phone: 907-458-5660 |