| Louis Schruff Jr, MD | |
|
1021 Broad Branch Ct, Mc Lean, VA 22101-2140 | |
| (866) 400-4295 | |
| (208) 763-3644 |
| Full Name | Louis Schruff Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 1021 Broad Branch Ct, Mc Lean, Virginia |
| 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 |
|---|---|---|---|
| 1568495935 | NPI | - | NPPES |
| 1485721 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 023860 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avala | Covington, LA | Hospital |
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Ochsner Clinic Foundation | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairway Medical Center Llc | 6406815687 | 5 |
| Diagnostic Imaging Services | 7618872102 | 23 |
| Entity Name | Diagnostic Imaging Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699793166 PECOS PAC ID: 7618872102 Enrollment ID: O20031208000109 |
| Entity Name | Fairway Medical Center Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1265023170 PECOS PAC ID: 6406815687 Enrollment ID: O20210224001527 |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Schruff Jr, MD 601 E Front Ave, Suite 502, Coeur D Alene, ID 83814-2701 Ph: (208) 415-0595 | Louis Schruff Jr, MD 1021 Broad Branch Ct, Mc Lean, VA 22101-2140 Ph: (866) 400-4295 |
Alexis Leigh Crawley, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Dr. Nordine Gaugau, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6723 Whittier Ave, Ste 306, Mc Lean, VA 22101 Phone: 703-891-3147 | |
Chris S Chung, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Dr. Margaret Kang, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1021 Broad Branch Ct, Mc Lean, VA 22101 Phone: 952-595-1100 Fax: 612-294-4903 | |
Matthew Joseph Webber, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Dr. Omar Javery, Radiology Medicare: Accepting Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-6400 | |
Dr. Anjum Bandarkar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8008 Westpark Dr, Mc Lean, VA 22102 Phone: 703-287-1910 |