| Mariam Wassef Hanna, | |
|
2330 Utah Ave Ste 200, El Segundo, CA 90245-4817 | |
| (281) 766-0959 | |
| Not Available |
| Full Name | Mariam Wassef Hanna |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 2330 Utah Ave Ste 200, El Segundo, 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 |
|---|---|---|---|
| 1013228246 | NPI | - | NPPES |
| 017387200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME125175 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tampa General Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tower Imaging Llc | 2860470077 | 92 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | Florida Clinical Practice Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
| Entity Name | Tower Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467654244 PECOS PAC ID: 2860470077 Enrollment ID: O20040713000446 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Wassef Hanna, Po Box 100374, Gainesville, FL 32610-0374 Ph: (352) 265-0291 | Mariam Wassef Hanna, 2330 Utah Ave Ste 200, El Segundo, CA 90245-4817 Ph: (281) 766-0959 |
Nicholas D'alesio, DO, MPH Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dr. David Lewis Lamar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Nisha Rao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dustin Lee Meyer, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Christopher Tournade, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 | |
Dr. Katie Jo Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2330 Utah Ave Ste 200, El Segundo, CA 90245 Phone: 281-766-0959 |