| 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 | 29 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 |
|---|---|---|
| Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
| Memorial Medical Center | Las cruces, NM | Hospital |
| Christus Spohn Hospital Corpus Christi | Corpus christi, TX | Hospital |
| Las Palmas Medical Center | El paso, TX | Hospital |
| Dallas Regional Medical Center | Mesquite, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonoran Radiology Ltd | 3375964505 | 470 |
| Eagle Partners Pllc | 9032205752 | 172 |
| Singleton Associates Pa | 6305731118 | 773 |
| Yampa Valley Medical Center | 5890685689 | 129 |
| Imaging Associates Of New Mexico Llc | 4981970233 | 156 |
| Medical Imaging Associates Of Idaho Falls Inc | 7618876590 | 62 |
| Sonoran Radiology Ltd | 3375964505 | 470 |
| Imaging Associates Of New Mexico Llc | 4981970233 | 156 |
| Singleton Associates Pa | 6305731118 | 773 |
| Mountain Radiology Inc | 4688666761 | 73 |
| Sierra Vista Hospital | 0143122416 | 63 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090928000177 |
| Entity Name | Garden State Healthcare Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700014545 PECOS PAC ID: 8426190687 Enrollment ID: O20100126000693 |
| Entity Name | Specialists In Medical Imaging Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20200225000164 |
| Entity Name | Sonoran Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200807000886 |
| Entity Name | Golden State Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144872052 PECOS PAC ID: 1254761315 Enrollment ID: O20200916002703 |
| Entity Name | Imaging Associates Of New Mexico Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629592464 PECOS PAC ID: 4981970233 Enrollment ID: O20201119002211 |
| Entity Name | Singleton Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538107875 PECOS PAC ID: 6305731118 Enrollment ID: O20201203002447 |
| 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 |