| Tad T Renvyle, MD | |
|
703 Riverway Pl, Bedford, NH 03110-6745 | |
| (603) 627-1661 | |
| (603) 669-6944 |
| Full Name | Tad T Renvyle |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 703 Riverway Pl, Bedford, New Hampshire |
| 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 |
|---|---|---|---|
| 1437122231 | NPI | - | NPPES |
| 30202047 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 11573 (New Hampshire) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD20616 (Maine) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mid Coast Hospital | Brunswick, ME | Hospital |
| Penobscot Bay Medical Center | Rockport, ME | Hospital |
| Maine Medical Center | Portland, ME | Hospital |
| Lincolnhealth | Damariscotta, ME | Hospital |
| Waldo County General Hospital | Belfast, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mount Desert Island Hospital | 0941250963 | 43 |
| Radiology Consultants Of Maine Llc | 3779703897 | 13 |
| Entity Name | Maine Center For Cancer Medicine & Blood Disorders Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205896107 PECOS PAC ID: 0840195186 Enrollment ID: O20031201000458 |
| Entity Name | Mount Desert Island Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790764512 PECOS PAC ID: 0941250963 Enrollment ID: O20050127000611 |
| Entity Name | Radiology Consultants Of Maine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164830139 PECOS PAC ID: 3779703897 Enrollment ID: O20141013000474 |
| Entity Name | Franklin Imaging Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497339709 PECOS PAC ID: 0244632677 Enrollment ID: O20210708000604 |
| Mailing Address | Practice Location Address |
|---|---|
| Tad T Renvyle, MD 703 Riverway Pl, Bedford, NH 03110-6745 Ph: (603) 627-1661 | Tad T Renvyle, MD 703 Riverway Pl, Bedford, NH 03110-6745 Ph: (603) 627-1661 |
Dr. Joseph K. Azar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 703 Riverway Pl, Bedford, NH 03110 Phone: 603-627-1661 Fax: 603-669-6944 | |
Dr. Wane G Joselow, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 703 Riverway Pl, Bedford, NH 03110 Phone: 603-668-7096 Fax: 603-669-6944 | |
Dr. Christopher G Eckel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 703 Riverway Pl, Bedford, NH 03110 Phone: 603-668-7096 Fax: 603-669-6944 | |
Dr. Channing S Swan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 703 Riverway Pl, Bedford, NH 03110 Phone: 603-668-7096 Fax: 603-669-6944 | |
David T Wang, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 703 Riverway Pl, Bedford, NH 03110 Phone: 603-627-1661 Fax: 603-669-6944 | |
Dr. Jason Eric Rothschild, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 703 Riverway Pl, Bedford, NH 03110 Phone: 603-627-1661 Fax: 603-669-6944 | |
Dr. Robert Remington Sprague, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 703 Riverway Pl, Bedford, NH 03110 Phone: 603-627-1661 Fax: 603-669-6944 |