| Michael J Stadnyk, M D | |
|
36 Chesterfield Lake Road, Chesterfield, MO 63005-4505 | |
| (573) 334-6071 | |
| (573) 334-4739 |
| Full Name | Michael J Stadnyk |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 32 Years |
| Location | 36 Chesterfield Lake Road, Chesterfield, Missouri |
| 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 |
|---|---|---|---|
| 1356455463 | NPI | - | NPPES |
| 3848 | Other | CMR | |
| P00295078 | Other | RAILROAD MEDICARE | |
| 208094714 | Medicaid | MO | |
| 27716 | Other | GROUP HEALTH PLAN | |
| G32279 | Other | MERCY HEALTH PLAN | |
| Q061129 | Medicaid | TN | |
| 332305 | Other | HEALTHLINK | |
| 194361 | Other | BLUE SHIELD | |
| 58770V12822 | Other | HEALTHCARE USA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 61451 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 103346 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry County Medical Center | Paris, TN | Hospital |
| Phelps County Regional Medical Center | Rolla, MO | Hospital |
| Dyersburg Regional Medical Center | Dyersburg, TN | Hospital |
| Lecom Health Corry Memorial Hospital | Corry, PA | Hospital |
| St Francis Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Usa Radiology Of Pennsylvania Llc | 0345594388 | 23 |
| Missouri Delta Medical Center | 1355252891 | 128 |
| Usa Radiology Management Solutions Llc | 3577780337 | 28 |
| Vanderbilt University Medical Center | 5092023416 | 2960 |
| Savannah Chatham Imaging Llc | 6800890245 | 35 |
| Memphis Physicians Radiological Group Pc | 9830123736 | 55 |
| Vanderbilt University Medical Center | 5092023416 | 2960 |
| Memphis Physicians Radiological Group Pc | 9830123736 | 55 |
| Entity Name | Missouri Delta Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306 |
| Entity Name | Usa Radiology Management Solutions Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689091076 PECOS PAC ID: 3577780337 Enrollment ID: O20141024001746 |
| Entity Name | Usa Radiology Of Pennsylvania Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164907655 PECOS PAC ID: 0345594388 Enrollment ID: O20190129002903 |
| Entity Name | Savannah Chatham Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992721278 PECOS PAC ID: 6800890245 Enrollment ID: O20200505001065 |
| Entity Name | Memphis Physicians Radiological Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134231574 PECOS PAC ID: 9830123736 Enrollment ID: O20230712000807 |
| Entity Name | Vanderbilt University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20230731002509 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Stadnyk, M D Po Box 2153 Dept 30755, Birmingham, AL 35287-9283 Ph: (314) 238-5260 | Michael J Stadnyk, M D 36 Chesterfield Lake Road, Chesterfield, MO 63005-4505 Ph: (573) 334-6071 |
Dr. James Z. Chen, MD Radiology Medicare: Medicare Enrolled Practice Location: 14014 Camberra Ct, Chen's Radiation, Chesterfield, MO 63017 Phone: 314-469-6893 | |
Peter Holtz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6100 Fax: 314-878-5437 | |
Dr. Charles Garvin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6100 Fax: 314-878-5437 | |
Dr. Jennifer Lee Demertzis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-434-1500 Fax: 314-548-4748 | |
Dr. Robert Kanterman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6100 Fax: 314-878-5437 | |
Dr. Naris Rujanavech, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-205-6100 Fax: 314-878-5437 |