| Mark Paul Preston, MD, JD | |
|
122 4th Ave, Suite 100, Indialantic, FL 32903-3112 | |
| (321) 409-0667 | |
| (321) 409-0668 |
| Full Name | Mark Paul Preston |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 122 4th Ave, Indialantic, Florida |
| 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 |
|---|---|---|---|
| 1396729810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 172699-01 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME72678 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neuspine Institute Llc | 0648545129 | 12 |
| Ihs Radiology Medical Group Inc | 1052622024 | 65 |
| Medical Technology Transfer Corporation | 1658265079 | 5 |
| Medical Imaging And Therapeutics Llc | 5597901603 | 4 |
| Indian River Radiology Pa | 8628039419 | 3 |
| Entity Name | Medical Technology Transfer Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104947217 PECOS PAC ID: 1658265079 Enrollment ID: O20040209000360 |
| Entity Name | Indian River Radiology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689616864 PECOS PAC ID: 8628039419 Enrollment ID: O20041025000871 |
| Entity Name | Hem Onc Associates Of The Treasure Coast, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205882867 PECOS PAC ID: 2961416136 Enrollment ID: O20060127000053 |
| Entity Name | Florida United Radiology Lc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407809395 PECOS PAC ID: 9537156757 Enrollment ID: O20080627000517 |
| 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: O20091120000596 |
| Entity Name | Medical Imaging& Therapeutics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528308350 PECOS PAC ID: 5597901603 Enrollment ID: O20130416000462 |
| Entity Name | Eastpointe Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642056 PECOS PAC ID: 7618876327 Enrollment ID: O20150608000533 |
| Entity Name | Neuspine Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861913857 PECOS PAC ID: 0648545129 Enrollment ID: O20171010000299 |
| Entity Name | Ihs Radiology Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497148456 PECOS PAC ID: 1052622024 Enrollment ID: O20221216001417 |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20231222001443 |
| Entity Name | Longwood Mri Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942297759 PECOS PAC ID: 7911976980 Enrollment ID: O20240530001357 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Paul Preston, MD, JD 122 4th Ave, Suite 100, Indialantic, FL 32903-3112 Ph: (321) 409-0667 | Mark Paul Preston, MD, JD 122 4th Ave, Suite 100, Indialantic, FL 32903-3112 Ph: (321) 409-0667 |
Mark Joseph Giovannetti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1780 Canterbury Dr, Indialantic, FL 32903 Phone: 952-595-1100 Fax: 612-294-4903 |