| Mr Larry Edwards, MD | |
|
2200 W Illinois Ave, Midland, TX 79701-6407 | |
| (432) 570-1421 | |
| (432) 570-1427 |
| Full Name | Mr Larry Edwards |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 28 Years |
| Location | 2200 W Illinois Ave, Midland, Texas |
| 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 |
|---|---|---|---|
| 1205801081 | NPI | - | NPPES |
| 84753R | Other | TX | SWMI BCBS PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | K5518 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peterson Regional Medical Center | Kerrville, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peterson Medical Associates | 1355467887 | 146 |
| Entity Name | Southwest Medical Imaging Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538134788 PECOS PAC ID: 4688564586 Enrollment ID: O20040316000716 |
| Entity Name | Peterson Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770800575 PECOS PAC ID: 1355467887 Enrollment ID: O20100922000142 |
| Entity Name | Concord Radiology Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598260515 PECOS PAC ID: 8628332061 Enrollment ID: O20180510001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Larry Edwards, MD Po Box 5500, Midland, TX 79704-5500 Ph: (432) 570-1421 | Mr Larry Edwards, MD 2200 W Illinois Ave, Midland, TX 79701-6407 Ph: (432) 570-1421 |
Dr. Jesse Jay Dalehite Iii, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701 Phone: 432-221-1111 | |
Noah Wempe, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 W Illinois Ave, Suite 3130, Midland, TX 79701 Phone: 432-570-1421 | |
Varadareddy T Reddy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5001 Andrews Hwy, Midland, TX 79703 Phone: 432-520-9292 Fax: 432-520-9299 | |
Dr. Cheryl W Hightower, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 W Illinois Ave, Midland, TX 79701 Phone: 432-570-1421 Fax: 432-570-1427 | |
Viet Nguyen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 Rosalind Redfern Grover Pkwy, Midland, TX 79701 Phone: 432-221-2730 | |
Dr. Marlon Hughes, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2200 W Illinois Ave, Midland, TX 79701 Phone: 432-570-1421 Fax: 432-570-1427 |