| Kevin S Schroeder, MD | |
| 2020 59th Street West, Blake Medical Center, Bradenton, FL 34209 | |
| (941) 792-6611 | |
| Not Available | 
| Full Name | Kevin S Schroeder | 
|---|---|
| Gender | Male | 
| Speciality | Radiology - Diagnostic Radiology | 
| Location | 2020 59th Street West, Bradenton, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689620809 | NPI | - | NPPES | 
| 300013482 | Other | FL | RAIL ROAD MEDICARE | 
| 061651600 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME0056356 (Florida) | Primary | 
| Entity Name | Presgar Imaging Of Rockledge Llc | 
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) | 
| Entity Identifiers | NPI Number: 1225015357 PECOS PAC ID: 9739151903 Enrollment ID: O20080105000041 | 
| Entity Name | Simonmed Imaging Florida Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477830818 PECOS PAC ID: 6608036108 Enrollment ID: O20120320000846 | 
| Entity Name | Smi Imaging Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20181120002282 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kevin S Schroeder, MD 804 40th Street West, C/o Stoutamyer Stratos Schroeder Whaley Rizzo & Asso Md, Bradenton, FL 34205 Ph: (941) 749-5464 | Kevin S Schroeder, MD 2020 59th Street West, Blake Medical Center, Bradenton, FL 34209 Ph: (941) 792-6611 | 
| Mr. Denis M Cavanagh, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 300 Riverside Drive E, Suite 4300, Bradenton, FL 34208 Phone: 941-747-3034 Fax: 941-748-8077 | |
| Scott Blanchard, RDMS Radiology Medicare: Not Enrolled in Medicare Practice Location: 1505 21st St W, Bradenton, FL 34205 Phone: 941-920-2332 | |
| Dr. Steven Lipman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8340 Lakewood Ranch Blvd, Bradenton, FL 34202 Phone: 941-782-3053 | |
| Robert Howes Montgomery, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 9447 Discovery Ter, #202, Bradenton, FL 34212 Phone: 941-567-4700 | |
| Dr. Lawrence George Manco, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-955-4101 Fax: 941-358-9817 | |
| Dr. Richard Gerard Bilodeau, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 206 2nd Street East, Bradenton, FL 34208 Phone: 941-955-4101 | |
| Dr. Jeffrey R Wasserman, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 206 2nd St E, Bradenton, FL 34208 Phone: 941-955-4101 |