| Joseph Radzevich, DO | |
|
431 E State Highway 114 Ste 450, Southlake, TX 76092-4417 | |
| (817) 912-1610 | |
| (817) 912-1611 |
| Full Name | Joseph Radzevich |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 9 Years |
| Location | 431 E State Highway 114 Ste 450, Southlake, Texas |
| 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 |
|---|---|---|---|
| 1134574007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 2023016051 (Missouri) | Secondary |
| 208600000X | Surgery | W0086 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centerpoint Medical Center | Independence, MO | Hospital |
| Adventhealth Shawnee Mission | Shawnee mission, KS | Hospital |
| St Joseph Medical Center | Kansas city, MO | Hospital |
| Lee's Summit Medical Center | Lees summit, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Orthopedics And Sports Medicine | 8820370422 | 49 |
| Advanced Orthopedics And Sports Medicine | 8820370422 | 49 |
| Entity Name | Surgical Care Of Independence Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568440493 PECOS PAC ID: 4385735554 Enrollment ID: O20070802000584 |
| Entity Name | Advanced Orthopedics And Sports Medicine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003268087 PECOS PAC ID: 8820370422 Enrollment ID: O20170113002161 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Radzevich, DO 431 E State Highway 114 Ste 450, Southlake, TX 76092-4417 Ph: (817) 912-1610 | Joseph Radzevich, DO 431 E State Highway 114 Ste 450, Southlake, TX 76092-4417 Ph: (817) 912-1610 |
Dr. Robert W Sewell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092 Phone: 817-748-0200 Fax: 817-749-0204 | |
Edgar Bedolla, MD Surgery Medicare: Medicare Enrolled Practice Location: 415 E Southlake Blvd Ste 202, Southlake, TX 76092 Phone: 817-416-8080 | |
Maria Valeria Simone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092 Phone: 817-748-0200 Fax: 817-749-0204 | |
Dr. Jacob Carlson, MD Surgery Medicare: Medicare Enrolled Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-416-8080 | |
Dr. Grant Alexander Bond, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-416-8080 | |
Miral Sapan Amin, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1230 N Kimball Ave Ste 130, Southlake, TX 76092 Phone: 248-760-3339 Fax: 248-760-3339 |