| Michael Hallenbeck, MD | |
|
155 Glasson Way, Grass Valley, CA 95945-5723 | |
| (530) 274-6107 | |
| (530) 274-6059 |
| Full Name | Michael Hallenbeck |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 155 Glasson Way, Grass Valley, California |
| 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 |
|---|---|---|---|
| 1285654145 | NPI | - | NPPES |
| 00A756021 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A75602 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tahoe Forest Hospital | Truckee, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tahoe Forest Hospital District | 0446161335 | 121 |
| Entity Name | Grass Valley Radiology Medical Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942226329 PECOS PAC ID: 4486624103 Enrollment ID: O20040729001046 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801957667 PECOS PAC ID: 0446161335 Enrollment ID: O20040821000218 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Hallenbeck, MD Po Box 496084, Redding, CA 96049-6084 Ph: (530) 241-0473 | Michael Hallenbeck, MD 155 Glasson Way, Grass Valley, CA 95945-5723 Ph: (530) 274-6107 |
Dr. Melisa Moore Agness, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 140 Litton Dr Ste 208, Grass Valley, CA 95945 Phone: 530-273-2720 Fax: 530-273-2770 | |
Adam M Khalil, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 280 Sierra College Dr Ste 120, Grass Valley, CA 95945 Phone: 530-477-4480 Fax: 530-274-7532 | |
Clayton Burnett Hess, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 155 Glasson Way Bldg 3l-20, Grass Valley, CA 95945 Phone: 530-274-6600 | |
Mark Richey, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 155 Glasson Way, Grass Valley, CA 95945 Phone: 530-274-6107 Fax: 530-274-6059 | |
Anna Babayan Wilson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 117 Neal St Ste A, Grass Valley, CA 95945 Phone: 530-273-2720 Fax: 530-273-2770 | |
Richard F. Evans, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 155 Glasson Way, Suite L20, Grass Valley, CA 95945 Phone: 530-274-6000 Fax: 530-274-6629 |