| Scott James Mahon, DO | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-9000 | |
| Not Available |
| Full Name | Scott James Mahon |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| 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 |
|---|---|---|---|
| 1144312943 | NPI | - | NPPES |
| P00465572 | Other | IL | MEDICARE RAILROAD/PALMETTO GBA |
| 085002811 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 125062715 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | DO191292 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Regional Medical Center | Corvallis, OR | Hospital |
| Samaritan Albany General Hospital | Albany, OR | Hospital |
| Samaritan Lebanon Community Hospital | Lebanon, OR | Hospital |
| Samaritan Pacific Community Hospital | Newport, OR | Hospital |
| Samaritan North Lincoln Hospital | Lincoln city, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Corvallis Radiology Pc | 2062300676 | 22 |
| Samaritan Pacific Health Services Inc | 2466353529 | 68 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
| Entity Name | Corvallis Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881651289 PECOS PAC ID: 2062300676 Enrollment ID: O20040305000892 |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1801847066 PECOS PAC ID: 2466353529 Enrollment ID: O20061104000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott James Mahon, DO 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 | Scott James Mahon, DO 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-9000 |
Anita Oza Nagamine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
George X Zaleski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Paolo Gian Piero Nucifora, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Christine Dudiak, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Mcgaw Ent., Rm. 47, Maywood, IL 60153 Phone: 708-216-5221 Fax: 708-216-0899 | |
Dr. Scott Alan Mirowitz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 So First Avenue, Radiology, Maywood, IL 60153 Phone: 708-216-9000 | |
Kyle Mcwilliams, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 260-460-0514 | |
Veronia Fahmy, Radiology Medicare: Not Enrolled in Medicare Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-4051 |