| Manfred Tejerina, DO | |
|
688 Kinoole St Ste 103, Hilo, HI 96720 | |
| (808) 969-8010 | |
| (903) 663-7394 |
| Full Name | Manfred Tejerina |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 688 Kinoole St Ste 103, Hilo, Hawaii |
| 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 |
|---|---|---|---|
| 1134489438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | DOS1891 (Hawaii) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Henry Hospital | Stockbridge, GA | Hospital |
| Piedmont Newton Hospital | Covington, GA | Hospital |
| Cartersville Medical Center | Cartersville, GA | Hospital |
| Piedmont Rockdale Hospital | Conyers, GA | Hospital |
| Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Radiology Services P C | 3577454024 | 69 |
| Summit Radiology Services P C | 3577454024 | 69 |
| Summit Imaging Services Llc | 9436597945 | 68 |
| Piedmont Professional Services Llc | 8921176231 | 161 |
| Summit Imaging Services Llc | 9436597945 | 68 |
| Entity Name | Summit Radiology Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174572374 PECOS PAC ID: 3577454024 Enrollment ID: O20040323001388 |
| Entity Name | Tanner Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Independent Diagnostic Testing Facility (idtf) |
| Entity Identifiers | NPI Number: 1154820876 PECOS PAC ID: 8325475056 Enrollment ID: O20200219000803 |
| Entity Name | Summit Imaging Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134984982 PECOS PAC ID: 9436597945 Enrollment ID: O20240403001695 |
| Mailing Address | Practice Location Address |
|---|---|
| Manfred Tejerina, DO 94 Old Short Hills Rd, Livingston, NJ 07039-5672 Ph: (973) 322-5267 | Manfred Tejerina, DO 688 Kinoole St Ste 103, Hilo, HI 96720 Ph: (808) 969-8010 |
Douglas Mitchell Sides, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 688 Kinoole St, Suite 103, Hilo, HI 96720 Phone: 808-935-1825 Fax: 903-663-7394 | |
Dr. Michael Jt Seu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 670 Ponahawai St, #110, Hilo, HI 96720 Phone: 808-933-2540 Fax: 808-935-5207 | |
Dr. David W Camacho, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 670 Ponahawai St, #103, Hilo, HI 96720 Phone: 808-933-2540 Fax: 808-935-5207 | |
Dr. Ming Y Peng, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1190 Waianuenue St, Hilo Medical Center, Hilo, HI 96720 Phone: 808-974-6841 Fax: 808-935-1889 | |
Dr. Scott R Grosskreutz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 82 Puuhonu Pl, #102, Hilo, HI 96720 Phone: 808-961-4746 Fax: 808-933-2532 | |
John L Wade, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 688 Kinoole St Ste 103, Hilo, HI 96720 Phone: 808-969-8010 Fax: 903-663-7394 |