| Scot Lebolt, MD, | |
|
8001 Forbes Pl, Suite 103, Springfield, VA 22151-2208 | |
| (703) 824-3200 | |
| Not Available |
| Full Name | Scot Lebolt |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 41 Years |
| Location | 8001 Forbes Pl, Springfield, Virginia |
| 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 |
|---|---|---|---|
| 1578664835 | NPI | - | NPPES |
| 300137584 | Other | COMPUTED TOMOGRAPHY ASSOCIATES, RAILROAD MEDICARE | |
| 300137583 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101038652 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sarasota Memorial Hospital | Sarasota, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Tower Imaging Llc | 2860470077 | 92 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | Association Of Alexandria Radiologists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013935709 PECOS PAC ID: 4486567898 Enrollment ID: O20041030000215 |
| Entity Name | Image Guided Pain Management, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831404284 PECOS PAC ID: 8729269048 Enrollment ID: O20110221000161 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20210628002584 |
| Mailing Address | Practice Location Address |
|---|---|
| Scot Lebolt, MD, Po Box 79537, Baltimore, MD 21279-0537 Ph: (703) 824-3200 | Scot Lebolt, MD, 8001 Forbes Pl, Suite 103, Springfield, VA 22151-2208 Ph: (703) 824-3200 |
William James Dunwoody, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 | |
Dr. Dan Kramer, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6501 Loisdale Ct, Springfield, VA 22150 Phone: 703-922-1000 Fax: 703-922-1111 | |
Mitali Bapna, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 | |
Arina Van Breda, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 | |
Kenneth Rholl, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 | |
Theresa Yuh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 | |
Tammy Lamb, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 8001 Forbes Pl, Suite 103, Springfield, VA 22151 Phone: 703-824-3200 |