| Linda Michelle Petrovich, MD | |
|
240 Wood Ln, Haddonfield, NJ 08033-1423 | |
| (952) 595-1100 | |
| (612) 294-4903 |
| Full Name | Linda Michelle Petrovich |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 34 Years |
| Location | 240 Wood Ln, Haddonfield, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528028248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 25MA06866900 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Las Palmas Medical Center | El paso, TX | Hospital |
| Christus Spohn Hospital Corpus Christi | Corpus christi, TX | Hospital |
| Memorial Medical Center | Las cruces, NM | Hospital |
| Banner Estrella Medical Center | Phoenix, AZ | Hospital |
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sierra Vista Hospital 69 | 0143122416 | 68 |
| Singleton Associates Pa | 6305731118 | 635 |
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Mountain Radiology Inc | 4688666761 | 69 |
| Imaging Associates Of New Mexico Llc | 4981970233 | 112 |
| Singleton Associates Pa | 6305731118 | 635 |
| Sonoran Radiology Ltd | 3375964505 | 386 |
| Imaging Associates Of New Mexico Llc | 4981970233 | 112 |
| Entity Name | Sierra Vista Hospital 69 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760446009 PECOS PAC ID: 0143122416 Enrollment ID: O20040126000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Michelle Petrovich, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Linda Michelle Petrovich, MD 240 Wood Ln, Haddonfield, NJ 08033-1423 Ph: (952) 595-1100 |
Mr. Fazlollah Golestaneh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 66 Tanner Street, Sam Radiology Services, Llc, Haddonfield, NJ 08033 Phone: 856-507-9512 Fax: 856-507-9516 |