| Kenneth P Moresco, MD | |
|
351 Delnor Dr, Geneva, IL 60134-4222 | |
| (630) 933-8800 | |
| (630) 933-2009 |
| Full Name | Kenneth P Moresco |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 35 Years |
| Location | 351 Delnor Dr, Geneva, Illinois |
| 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 |
|---|---|---|---|
| 1730268590 | NPI | - | NPPES |
| 206147 | Other | IL | MEDICARE GROUP |
| F400385971 | Other | IL | MEDICARE INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036-108263 (Illinois) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 036108263 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Orange Park Medical Center | Orange park, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200914002464 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth P Moresco, MD 351 Delnor Dr, Geneva, IL 60134-4222 Ph: (630) 933-8800 | Kenneth P Moresco, MD 351 Delnor Dr, Geneva, IL 60134-4222 Ph: (630) 933-8800 |
Dr. Neelima D Kabre, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 304 Randall Rd, Geneva, IL 60134 Phone: 630-262-8554 Fax: 630-208-7363 | |
Kiran Viswanath Talanki, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Delnor Hospital, Dept Of Radiology, Geneva, IL 60134 Phone: 630-938-4412 | |
Patrick Francis Para, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1416c S Randall Rd, Randall Square Shopping Center, Geneva, IL 60134 Phone: 630-208-9325 Fax: 630-208-9326 | |
Dr. Kalyana C Poruri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 Randall Rd, Geneva, IL 60134 Phone: 630-208-3000 | |
Kenneth P Sullivan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1416c South Randall Road, Randall Square Shopping Center, Geneva, IL 60134 Phone: 630-208-9325 Fax: 630-208-9326 | |
Dr. Sidney U Jain, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 825 W State St Ste 103e, Geneva, IL 60134 Phone: 630-208-4412 | |
Dr. Michael A Stutz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 304 Randall Rd, Geneva, IL 60134 Phone: 630-262-8554 Fax: 630-208-7363 |