| Khoa Vu Dang Lam, MD | |
|
3108 Summerfield Dr, Richardson, TX 75082-3755 | |
| (585) 922-4000 | |
| Not Available |
| Full Name | Khoa Vu Dang Lam |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 3108 Summerfield Dr, Richardson, 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 |
|---|---|---|---|
| 1225318827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 2023-02981 (North Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A184864 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Charleston Area Medical Center | Charleston, WV | Hospital |
| Ascension Columbia St Mary's Hospital Milwaukee | Milwaukee, WI | Hospital |
| Greenbrier Valley Medical Center | Ronceverte, WV | Hospital |
| Plateau Medical Center | Oak hill, WV | Hospital |
| St Francis-downtown | Greenville, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Associates Of South Carolina Llc | 3779932959 | 82 |
| Triad Radiology Associates Pllc | 8729086194 | 71 |
| West Virginia Radiology Associates Pc | 9133666431 | 71 |
| Premier Radiology Wisconsin Llc | 9537595533 | 72 |
| Entity Name | American Radiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669425195 PECOS PAC ID: 6709868409 Enrollment ID: O20070301000082 |
| Entity Name | Imaging Associates Of Michigan Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164943007 PECOS PAC ID: 9537434386 Enrollment ID: O20171012000584 |
| Entity Name | Kc Tan, M.d. Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215394036 PECOS PAC ID: 2062719719 Enrollment ID: O20220824003652 |
| Entity Name | Radia California Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740982032 PECOS PAC ID: 8921465998 Enrollment ID: O20230908001509 |
| Entity Name | Triad Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659485001 PECOS PAC ID: 8729086194 Enrollment ID: O20240112001661 |
| Entity Name | Radiology Associates Of South Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083491906 PECOS PAC ID: 3779932959 Enrollment ID: O20240116003706 |
| Entity Name | West Virginia Radiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093550915 PECOS PAC ID: 9133666431 Enrollment ID: O20241011000386 |
| Mailing Address | Practice Location Address |
|---|---|
| Khoa Vu Dang Lam, MD 1425 Portland Ave, Rochester, NY 14621-3011 Ph: (585) 922-4000 | Khoa Vu Dang Lam, MD 3108 Summerfield Dr, Richardson, TX 75082-3755 Ph: (585) 922-4000 |
Gary Leroy Webb, MD Radiology Medicare: Medicare Enrolled Practice Location: 401 W Campbell Rd, Richardson, TX 75080 Phone: 972-231-1441 | |
Timothy John Georgelas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 403 W Campbell Rd, Suite 201, Richardson, TX 75080 Phone: 972-498-4000 | |
Nam Thuy Duc Nguyen, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 W Campbell Rd, Richardson, TX 75080 Phone: 972-231-1441 | |
Paul Michael Derose, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2805 E President George Bush Hwy, Richardson, TX 75082 Phone: 469-204-6100 Fax: 469-726-6141 | |
Dr. Thomas J. Ruhnke Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2831 E President George Bush Hwy, Richardson, TX 75082 Phone: 469-204-5000 Fax: 469-204-5036 | |
Elizabeth A Jekot, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3301 E Renner Rd, Richardson, TX 75082 Phone: 469-814-5500 |