| Lisa M Mahoney, MD | |
|
26520 Cactus Ave, Moreno Valley, CA 92555-3927 | |
| (951) 486-4072 | |
| Not Available |
| Full Name | Lisa M Mahoney |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 26520 Cactus Ave, Moreno Valley, California |
| 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 |
|---|---|---|---|
| 1609803329 | NPI | - | NPPES |
| 200827180 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085B0100X | Radiology - Body Imaging | 01062028 (Indiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 01062028 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside University Health System-medical Center | Moreno valley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Faculty Physicians And Surgeons Of Llusm | 1153227814 | 1153 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Pinnacle Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376876912 PECOS PAC ID: 4880667609 Enrollment ID: O20040818001020 |
| 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: O20090917000455 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa M Mahoney, MD 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (951) 486-4072 | Lisa M Mahoney, MD 26520 Cactus Ave, Moreno Valley, CA 92555-3927 Ph: (951) 486-4072 |
Dr. Jeanine Aural Mcneill, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 909-486-4000 | |
Adam Mathew Basiago, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 27300 Iris Ave, Moreno Valley, CA 92555 Phone: 833-574-2273 | |
Dr. Monika Lynne Kief-garcia, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Dr. Christopher Viet Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Dr. John Sanico, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 | |
Rocelious Marquis Bennett, Radiology Medicare: Not Enrolled in Medicare Practice Location: 13550 Wilmot St, Moreno Valley, CA 92555 Phone: 909-815-5881 | |
Dr. Nader Matloubi, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 12818 Heacock St Ste C2, Moreno Valley, CA 92553 Phone: 951-242-2508 Fax: 951-242-2548 |