| Michael Im, MD | |
|
2624 Dawson Rd, Albany, GA 31707-1609 | |
| (229) 888-1624 | |
| Not Available |
| Full Name | Michael Im |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 2624 Dawson Rd, Albany, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710154794 | NPI | - | NPPES |
| A119769 | Other | CA | STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 109415 (Georgia) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | A119769 (California) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Imaging Sc | 3678892247 | 24 |
| Entity Name | Pronet Imaging Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528099488 PECOS PAC ID: 5890722755 Enrollment ID: O20050721000831 |
| Entity Name | Beverly Radiology Medical Group Iii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962457812 PECOS PAC ID: 3476466376 Enrollment ID: O20060221000914 |
| Entity Name | San Fernando Valley Interventional Radiology And Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942350889 PECOS PAC ID: 3476651431 Enrollment ID: O20070614000478 |
| Entity Name | Emeryville Advanced Imaging Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376597930 PECOS PAC ID: 3375637051 Enrollment ID: O20070926000354 |
| Entity Name | Spectrum Imaging Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821482621 PECOS PAC ID: 3678892247 Enrollment ID: O20210924002005 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Im, MD 700 E Morehead St Ste 300, Charlotte, NC 28202-2742 Ph: () - | Michael Im, MD 2624 Dawson Rd, Albany, GA 31707-1609 Ph: (229) 888-1624 |
Dr. Allison Lea Hays, MD Radiology Medicare: Medicare Enrolled Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 | |
Suresh K Lakhanpal, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 | |
Edwin J Fortenbery, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 417 W 3rd Ave, Albany, GA 31701 Phone: 706-653-1088 Fax: 706-653-1162 | |
Frank Maynard Thames Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2219 Golf Course Dr, Albany, GA 31721 Phone: 229-435-2964 | |
Robert Lewis Stickle, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2624 Dawson Rd, Albany, GA 31707 Phone: 229-888-1624 | |
Dr. Nicholas Mark Gutierrez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2624 Dawson Rd, Albany, GA 31707 Phone: 229-888-1624 | |
William Joel Mcafee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 425 W 3rd Ave Ste 50, Albany, GA 31701 Phone: 229-883-0717 |