| Peter M Mamalakis, MD | |
|
101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | |
| (928) 855-8185 | |
| Not Available |
| Full Name | Peter M Mamalakis |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 19 Years |
| Location | 101 Civic Center Ln, Lake Havasu City, Arizona |
| 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 |
|---|---|---|---|
| 1316275290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 49335 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Yuma Regional Medical Center | Yuma, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Yuma Regional Medical Center | 2062314826 | 359 |
| Entity Name | Benson Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336118322 PECOS PAC ID: 3274443056 Enrollment ID: O20040109000537 |
| Entity Name | Yavapai Community Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902897820 PECOS PAC ID: 6608777024 Enrollment ID: O20040119000405 |
| Entity Name | Yuma Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20091209000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter M Mamalakis, MD 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 Ph: (928) 855-8185 | Peter M Mamalakis, MD 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 Ph: (928) 855-8185 |
Jack D Dunn, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2130 Mesquite Ave Unit 108, Lake Havasu City, AZ 86403 Phone: 928-854-9433 Fax: 928-854-9443 | |
Ayman Nicholas Awad, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1944 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-505-9729 | |
Daniel Rawn Emig, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3662 N Winifred Way, Lake Havasu City, AZ 86404 Phone: 219-682-8738 Fax: 928-466-9314 |