| Stephen A Colvin, MD | |
|
1125 E Southern Ave, Ste 300, Mesa, AZ 85204-5045 | |
| (480) 545-8119 | |
| (480) 926-8332 |
| Full Name | Stephen A Colvin |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 27 Years |
| Location | 1125 E Southern Ave, Mesa, 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 |
|---|---|---|---|
| 1215926274 | NPI | - | NPPES |
| 1215926274 | Other | AZ | BCBSAZ |
| 1Z7135 | Other | AZ | HEALTH NET |
| 82680 | Other | AZ | JRL |
| Z142685 | Other | MEDICCARE PTAN - ARL | |
| Z142686 | Other | AZ | MEDICARE PTAN - EVDI |
| 574857 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036.176148 (Illinois) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 27762 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
| Lake Granbury Medical Center | Granbury, TX | Hospital |
| Nacogdoches County Hospital District | Nacogdoches, TX | Hospital |
| Rolling Plains Memorial Hospital | Sweetwater, TX | Hospital |
| Odessa Regional Medical Center | Odessa, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vesta Telemedicine Solutions Pllc | 9638585706 | 40 |
| Vesta Telemedicine Solutions Pllc | 9638585706 | 40 |
| Vesta Telemedicine Solutions Pllc | 9638585706 | 40 |
| Tallahassee Memorial Healthcare Inc | 6103724778 | 436 |
| 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 |
| Entity Name | Smi Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180829003142 |
| Entity Name | Vesta Telemedicine Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952902116 PECOS PAC ID: 9638585706 Enrollment ID: O20240205002517 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen A Colvin, MD 1125 E Southern Ave, Ste 300, Mesa, AZ 85204-5045 Ph: (480) 545-8119 | Stephen A Colvin, MD 1125 E Southern Ave, Ste 300, Mesa, AZ 85204-5045 Ph: (480) 545-8119 |
Asim A. Khwaja, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-926-8332 | |
Tobias Schifter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Stuart B. Cohen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805 | |
James B. Lyons, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Dr. Kirk D Minkus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7529 E Broadway Rd Ste 101, Mesa, AZ 85208 Phone: 480-945-4343 Fax: 480-945-4350 | |
Marvin K. Tam, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Brian J. Igel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805 |