| Matthew Iwamoto, MD | |
|
222 N 7th St, Bismarck, ND 58501-4436 | |
| (701) 323-6000 | |
| Not Available |
| Full Name | Matthew Iwamoto |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 42 Years |
| Location | 222 N 7th St, Bismarck, North Dakota |
| 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 |
|---|---|---|---|
| 1073547014 | NPI | - | NPPES |
| 00G563690 | Other | CA | BLUE SHIELD |
| 00G563690 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G56369 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Bismarck | Bismarck, ND | Hospital |
| Chi St Alexius Health | Bismarck, ND | Hospital |
| Mckenzie County Healthcare Systems Inc | Watford city, ND | Hospital |
| Smp Health St Aloisius | Harvey, ND | Hospital |
| Garrison Memorial Hospital | Garrison, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Bismarck | 9739098575 | 562 |
| St Alexius Medical Center | 8426960865 | 239 |
| Entity Name | St Alexius Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205868429 PECOS PAC ID: 8426960865 Enrollment ID: O20031104000146 |
| Entity Name | Sanford Bismarck |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811941172 PECOS PAC ID: 9739098575 Enrollment ID: O20031105000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Iwamoto, MD Po Box 5501, Bismarck, ND 58506-5501 Ph: (323) 701-6000 | Matthew Iwamoto, MD 222 N 7th St, Bismarck, ND 58501-4436 Ph: (701) 323-6000 |
Michael J Mcintee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 Fax: 701-323-5479 |
Dr. Andrew James Wilder, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 401 N 9th St, Bismarck, ND 58501 Phone: 701-712-4251 Fax: 701-712-4272 |
John Arthur Miller, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-5824 Fax: 701-323-5709 |
Tarek A Dufan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 500 N 8th St, Bismarck, ND 58501 Phone: 701-222-6100 Fax: 701-222-6150 |
Natalie Francis Crawford, Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 |
Bruce Allen Gardner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 222 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 |
Dr. John Morgan Watkins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 500 N 8th St, Bismarck, ND 58501 Phone: 701-222-6100 Fax: 701-222-6151 |