| Michael Mcconnell, DO | |
|
12490 Business Center Dr Ste 200, Victorville, CA 92395-5833 | |
| (760) 728-1900 | |
| Not Available |
| Full Name | Michael Mcconnell |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 15 Years |
| Location | 12490 Business Center Dr Ste 200, Victorville, 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 |
|---|---|---|---|
| 1669791893 | NPI | - | NPPES |
| 036.139705 | Other | IL | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 20A20719 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036.139705 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Shasta Regional Medical Center | Redding, CA | Hospital |
| Ridgecrest Regional Hospital | Ridgecrest, CA | Hospital |
| Carlinville Area Hospital | Carlinville, IL | Hospital |
| Desert Valley Hospital | Victorville, CA | Hospital |
| Mad River Community Hospital | Arcata, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sol Radiology Inc | 1850796681 | 84 |
| Associated Imaging Specialists | 3870525652 | 5 |
| Krishna Das Md Inc | 3971940479 | 17 |
| Camelot Radiology Associates Ltd | 4880580521 | 19 |
| Rahul Nayyar Md Inc | 5698111318 | 7 |
| Freeport Memorial Hospital | 8426958232 | 101 |
| Sol Radiology Inc | 1850796681 | 84 |
| Rahul Nayyar Md Inc | 5698111318 | 7 |
| Entity Name | Freeport Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447228788 PECOS PAC ID: 8426958232 Enrollment ID: O20040109000305 |
| Entity Name | Camelot Radiology Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841244753 PECOS PAC ID: 4880580521 Enrollment ID: O20040227000500 |
| Entity Name | Associated Imaging Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493256 PECOS PAC ID: 3870525652 Enrollment ID: O20050831000832 |
| Entity Name | Sol Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457928111 PECOS PAC ID: 1850796681 Enrollment ID: O20220517001509 |
| Entity Name | Krishna Das Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164284196 PECOS PAC ID: 3971940479 Enrollment ID: O20240326000884 |
| Entity Name | Rahul Nayyar Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518729516 PECOS PAC ID: 5698111318 Enrollment ID: O20240402002282 |
| Entity Name | Megha Nayyar Gupta Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669234670 PECOS PAC ID: 2062859887 Enrollment ID: O20240513002415 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mcconnell, DO 1229 Bull Valley Dr, Woodstock, IL 60098-8084 Ph: (847) 533-6498 | Michael Mcconnell, DO 12490 Business Center Dr Ste 200, Victorville, CA 92395-5833 Ph: (760) 728-1900 |
Dr. John Joseph Cerrone, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 17891 San Gabriel Lane, 7816 Svl Box, Victorville, CA 92395 Phone: 760-243-5801 Fax: 760-243-5801 | |
Dr. Glenn P. Wedeen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 15248 11th St, Victorville, CA 92395 Phone: 760-843-6092 | |
Mary Maunglay, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12602 Amargosa Rd, Victorville, CA 92392 Phone: 760-241-6666 Fax: 760-947-5619 | |
Dr. Rahul Nayyar, M.D., MBA Radiology Medicare: Accepting Medicare Assignments Practice Location: 15248 11th St, Victorville, CA 92395 Phone: 760-245-8691 | |
Dr. Veena Mandava, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12602 Amargosa Rd Ste F, Victorville, CA 92392 Phone: 760-561-5000 Fax: 760-947-5619 | |
Dr. Robert R Young, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 17260 Bear Valley Rd, Suite 109, Victorville, CA 92395 Phone: 760-843-2900 Fax: 760-843-0144 |